Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 428
E-Poster: Acute Wounds
Utilization of Store and Forward Digital Technology for the
Assessment of Acute Wound Management
Mark Granick 1 , Ian Hoppe 1 , Sandra Scott 1
1 New Jersey Medical School-UMDNJ (Newark, United States).
Aim: Optimal patient outcomes for acute wounds treated in the Emergency Department
(ED) may require reliance on Plastic Surgeons (PS). We examined whether PS are
consulted appropriately for complicated acute wounds.
Methods: Digital images and injury related data for each PS consultation were collected
daily for a period of 5 consecutive months. These were later reviewed and rated by the
senior author (MSG) using store and forward digital technology. Clinic visits were tallied
and rated.
Results: A total of 78 PS consults were treated: 54 hand injuries, 16 head and neck
injuries and 8 truncal or extremity injuries. Each consult was a plastic surgical issue that
needed the attention of a PS. The ED referred 154 patients directly to the plastic surgery
clinic, some of whom had significant injuries.
Conclusion: The data demonstrate that there was not a single unwarranted plastic
surgical consultation during the study period. The data suggests that there may be a
barrier in place that precludes plastic surgical consultation for some situations which
require a specialty consultation. Possible barriers are discussed. We are concerned that
patients with less severe, but nevertheless, important injuries, such as tendon, nerve,
and bony injuries, should be seen by plastic surgeons, but were not. With the availability
of high speed digital imaging, tele- medical consultation may circumvent the existing
barriers to open communication. Privacy laws in the US (HIPAA) require that the hospital
system use a secure Intranet for exchange of patient data. A study is underway to
assess the impact of telemedicine in this setting.
E-POSTER: ACUTE WOUNDS
EP 429
E-Poster: Acute Wounds
THE USE OF CELLULAR TECHNOLOGY IN TREATMENT OF CHILDREN WITH
DEEP BURNS
Budkevich Ludmila 1 , Koroleva Tatiana 1
1 Moscow Scientific Institute of Pediatrics and Children Surgery (Moscow, Russia).
Over the past decade tremendous advances in combustiology for using cellular
technologies in the treatment of deep burns. But along with the positive sides of these
technologies have their disadvantages (difficulties with cultivation of cell layers, a high
percentage of complications etc.), making them difficult to use in paediatric practice.
Therefore remains the search for new methods of surgical treatment of children with
burns. Practical observation and researches this subject showed high efficiency of a
cellular spray-on skin technology*, which uses autologous keratinocytes, fibroblasts,
melanocytes obtained from a biopsy. Spray from cells on wound biopsy in excess of 80
times square. Faster and more effective treatment leads to reduced pain, reduced
scarring and better outcomes for patients.
In the clinic of thermal injuries from 2011 to 2012, using suspension autologous cells
operated on 12 children ranging in age from 8 months to 3 years with deep burns, from 3
to 25% TBSA. None of the patient not observed the development of local infectious
complications. Most of the children in catamnesis had minimal scars, pigmentation was
close to healthy skin. Analysis of surgical treatment of patients with serious burns using
advanced cellular technology to alleviate the suffering of victims and improve the
outcomes of thermal injury, attests to its effectiveness. This kind of treatment should be
applied as a template, and as a method of having his testimony.
*ReCell ®
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