Five-year experience with burns from glass fireplace doors in the pediatric population.

Burns from contact with glass doors of gas fireplaces have been previously reported. The purpose of this study is to examine the incidence and severity of this injury in our population. Patients were identified for inclusion in the retrospective chart review study using the National Trauma Registry of the American College of Surgeons (NTRACS) and our local outpatient database. Criteria for inclusion were burn injuries sustained from contact with fireplace glass doors treated at our pediatric burn center from 2007 through 2011. Fifty children met these criteria, including two children whose burns were caused by electric fireplace glass doors. BSA burned was 1.5 ± 1.5% (mean ± SD), range 0.5 to 10%. Age was 27.2 ± 27.3 months, range 8 months to 13 years. Forty-five children (90%) had hand burns; of these, 18 children had bilateral hand involvement. Facial burns were found in three children (6%), and eight children (16%) had other areas burned. One patient developed cellulitis. Two patients required surgery. Six children (12%) required hospitalization; mean length of stay was 5.8 ± 5 days, range 1 to 5 days. Although the number of inpatient admissions was relatively few, 329 outpatient visits and 309 rehabilitation visits were required for treatment of these children. Nineteen patients (38%) required splints and six patients (12%) required scar treatment with pressure garments. Burns from contact with fireplace glass doors are a recurring problem. Toddlers are most at risk. Directed preventive strategies including parent education, safety warnings, and design modifications such as temperature sensors and barrier screens could be potentially helpful in reducing the incidence of this injury.

Burn rehabilitation and research: proceedings of a consensus summit.

Burn rehabilitation is an essential component of successful patient care. In May 2008, a group of burn rehabilitation clinicians met to discuss the status and future needs of burn rehabilitation. Fifteen topic areas pertinent to clinical burn rehabilitation were addressed. Consensus positions and suggested future research directions regarding the physical aspects of burn rehabilitation are shared.

Exploring the effects of music therapy on pediatric pain: phase 1.

The purpose of this study was to assess the effects of music therapy on pain and anxiety in pediatric burn patients during nursing procedures. Nine subjects were randomly selected to participate in this study. Qualitative and quantitative data was collected on the patients' pain, anxiety, heart rate, blood oxygenation, and engagement level through measurement tools and interviews. The results from the qualitative and quantitative data indicated that music therapy reduced pain, anxiety, and behavioral distress. The quantitative data were analyzed and an inverse relationship between engagement in music therapy and lower behavioral distress scores was noted. Additionally, a linear relationship between engagement and behavioral distress was noted; significance was found but was moderated by the age of the child. However, no significant relationship was found between heart rate and behavioral distress. The results from the qualitative data from the interviews with the patients, parents, nurses and music therapist indicated that music therapy reduced pain and anxiety, and that engagement in music therapy enhanced relaxation. In addition, music therapy positively affected patients' mood, compliance, and the relaxation level. Finally, parents/guardians and nurses involved in the study reported that music therapy helped them to feel more relaxed as well.

The effects of music therapy on pediatric patients' pain and anxiety during donor site dressing change.

The purpose of this study was to assess the effects of music therapy on pain and anxiety in pediatric burn patients during a donor site dressing change. Fourteen subjects were randomly selected to participate in this study. The experiment was conducted in the Reconstructive Unit of Shriners Burns Hospital-Boston. The experimental group's intervention consisted of live music and was compared to a control group whose intervention was verbal interaction. Psychological, behavioral, and physiological data were assessed through the Wong Baker FACES Pain Rating Scale, the Fear Thermometer, the Nursing Assessment of Pain Index, heart rate, and respiration rate. Data were analyzed using the ANCOVA, Mann-Whitney U, and regression analysis. The results were mixed and inconclusive. The members of the experimental group reported anecdotal information about the effects of music on pain and anxiety. An exploration of the limitations of the study and suggestions for further study are discussed.