Evolution of Burn Care : Past, Present, and Future - 28/02/24

Doi : 10.1016/j.cps.2023.10.002

Martin R. Buta, MD, MBA ^a,^b,^c, Matthias B. Donelan, MD ^a,^b,^c,^⁎
^a Plastic, Reconstructive, and Laser Surgery, Shriners Hospitals for Children, Boston, MA, USA
^b Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA
^c Harvard Medical School, Boston, MA, USA

^∗Corresponding author. Plastic, Reconstructive, and Laser Surgery, Shriners Hospitals for Children, 51 Blossom Street, Boston, MA 02114.Plastic, Reconstructive, and Laser SurgeryShriners Hospitals for Children51 Blossom StreetBostonMA02114

Résumé

Burn care evolved slowly from primitive treatments depicted in cave drawings 3500 years ago to a vibrant medical specialty which has made remarkable progress over the past 200 years. This evolution involved all areas of burn care including superficial dressings, wound assessment, fluid resuscitation, infection control, pathophysiology, nutritional support, burn surgery, and inhalation injury. Major advances that contributed to current standards of care and improved outcomes are highlighted in this article. New innovations are making possible a future where severe burn injuries will require less morbid interventions for acute care and outcomes will restore patients more closely to their pre-injury condition.

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Keywords : Burns, Burn care, Thermal injury, Burn wound, Burn reconstruction, Skin substitutes, History