الفهرس 
Introduction to BurnOnly 14 pages are availabe for public view
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Abstract
Management of burn patients requires a complex interaction of surgical, medical, critical care, and rehabilitation approaches. Severe burn patients are some of the most challenging critically ill patients who may have multiple-system organ failure with life-threatening complications (Ong et al., 2006).
Recent changes and new therapies have been incorporated into burn care worldwide through the efforts of clinical and basic research. This essay will summarize important advances in treating burn patients (Bessey, 2007).
It is often difficult to determine what specific discoveries change health delivery in burns. The areas of advancement in burn care that have improved outcome are myriad and include acute care, burn wound treatment, control of the hypermetabolic responses, and control of life threatening infections (Jeschke et al., 2008).
The mortality and length of hospital stay of burn patients have been greatly reduced over the last 25 years. In the 1960’s, the likelihood of survival was only 50% for pediatric burns covering 35-44% of the TBSA (total body surface area), and few patients with burn sizes above 45% TBSA survived. The average length of stay for the acutely burn patient was 103 days. Today, the LB50 (lethal burn size for 50% of the patients) for patients exceeds 95% TBSA, and the average length of hospital stay for most serious burn injuries can be expected to be only 0.5 days per percent of TBSA that is burned (Celis et al., 2003).
This is truly a remarkable achievement and is striking testimony to the concentrated effort in personnel and resources that have been directed toward severely burn patients.Specific aspects of burn care that have dramatically improved in burn hospitals include: treatment to improve acute care, such as resuscitation, early excision and grafting, the control of infections and improving the immune system, improvements in provision of metabolic and nutritional requirements, and the evolution of effective skin banks, infection control, and alternative wound-closure materials and strategies (Cleland, 2007).
Most importantly however, not only have the length of stay and survival rates improved over the last 25 years, it is also a remarkable achievement that severely burned patients have tremendously improved long-term outcomes. Over the last decade major advances enabled burn patients to be effectively rehabilitated and reintegrated as productive members into society. These patients have skills and developmental improvements that are truly outstanding leading to effective, productive, and thoughtful members of society and also making this world a better place (Suman et al., 2003).