Episode
Journal Review in Burn Surgery: Early Excision of Burn Wounds
- Published
- May 4, 2026
- Duration seconds
- 1347
- Processing state
not_requested- Canonical source
- https://audioboom.com/posts/8898217
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Summary
In this episode, our expert panel dives into the critical, historically debated topic of early burn wound excision using a real-world case of a patient with massive surface area burns. We explore the dramatic shift from the pre-1970s "wait and watch" approach to the modern standard of early source control, backed by landmark literature showing reduced mortality and shorter hospital stays. The discussion also highlights the nuances of this timeline, covering specific scenarios where delaying surgery is actually safer due to physiologic instability, uncertain burn depths, or mass casualty events. Tune in to hear the evidence behind these clinical decisions and learn why modern burn surgeons believe that removing necrotic eschar early is the best way to dominate the day! Hosts: - Kathleen Romanowski – University of California Davis Hospital, Shriners Hospital Sacramento - Laura Johnson – Grady Memorial Hospital - Lauren Nosanov – Grady Memorial Hospital - Victoria Miles – Louisiana State University Health Science Center, University Medical Center New Orleans Learning Objectives: - Review the historical development of early burn excision and understand how these studies shaped modern burn surgical practice. - Evaluate contemporary evidence on the timing of burn excision. - Apply current evidence and clinical principles to operative decision-making , identifying key patient and injury factors that influence the timing of excision and grafting in patients with major thermal injury. References: - Thompson P, Herndon DN, Abston S, Rutan T. Effect of early excision on patients with major thermal injury. J Trauma. 1987 Feb;27(2):205-7. doi: 10.1097/00005373-198702000-00019. PMID: 3820353. https://pubmed.ncbi.nlm.nih.gov/3820353/ - Gray DT, Pine RW, Harnar TJ, Marvin JA, Engrav L…