605 Differences in Management and Decision Making in Grease and Scald Burns
Miles Reese, Jessica Burgess, Hemasree Yeluru, Ricardo Rendel, Jay Collins

TL;DR
This study found no significant differences in treatment or outcomes between grease and scald burns, suggesting they should be managed similarly.
Contribution
The study challenges the belief that grease burns are more severe and require different management than scald burns.
Findings
Scald burn patients had a longer hospital stay than grease burn patients, but this was not due to burn severity.
There was no significant difference in the rate of management changes or skin grafting between the two burn types.
Grease burns did not show increased progression requiring excision or grafting compared to scald burns.
Abstract
There has been a longstanding belief that grease burns are more severe than scald burns due to the higher boiling point of grease. Grease burn patients may remain hospitalized to monitor progression of the burn due to the assumption that these burns may worsen over time, prompting a change in management. The objective of this study was to determine if there was a difference in the management, treatment and outcomes of scald and grease burns. This study was a retrospective chart review of patients with thermal burns treated at a level I trauma center. The following data was collected: age, gender, grease or scald burn, total body surface area (TBSA%), depth of burn, evolution of burn depth, type of operative intervention, whether the decision to excise or graft changed from presentation and length of hospital stay (LOS). Data was analyzed using descriptive statistics; means between the…
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Taxonomy
TopicsBurn Injury Management and Outcomes
