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A history of burn care

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Handbook of Burns

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Abstract

If one uses the incontrovertible index of postburn mortality, it is evident that our ability to care for burn patients has improved markedly since World War II. This can be quantified by the lethal area 50 % (that burn size which is lethal for 50 % of a population), which in the immediate postwar era was approximately 40 % of the total body surface area (TBSA) for young adults in the U. S., whereas it increased to approximately 80 % TBSA by the 1990 s [1]. Furthermore, the mortality rate at the Galveston Shrine for children with 80 % TBSA or greater (mean 70 % full-thickness burn size) during 1982–96 was only 33 % [2]. What has been responsible for these improved outcomes in burn care? What practices were essential to this growth, and what are the major problems that remain unsolved? In this chapter, we will take as our focal point the fire disaster at the Cocoanut Grove Night Club which took place in Boston in 1942, less than a year after Pearl Harbor.

The opinions or assertions contained herein are the private views of the authors, and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

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Authors and Affiliations

  1. U. S. Army Institute of Surgical Research, Fort Sam Houston, TX, 78234-6315, USA

    Dr Leopoldo C. Cancio MD, FACS, Colonel, Medical Corps, U. S. Army (Clinical Professor of Surgery)

  2. Burn and Trauma Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

    Steven E. Wolf MD, FACS (Professor and Vice Chairman for Research, Betty and Bob Kelso Distinguished Chair)

Authors
  1. Dr Leopoldo C. Cancio MD, FACS, Colonel, Medical Corps, U. S. Army
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  2. Steven E. Wolf MD, FACS
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Correspondence to Leopoldo C. Cancio MD, FACS, Colonel, Medical Corps, U. S. Army .

Editor information

Editors and Affiliations

  1. Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada

    Marc G. Jeschke M.D., Ph.D.

  2. Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

    Lars-Peter Kamolz M.D., M.Sc.

  3. Department of Hand and Plastic Surgery and Intensive Care, Linköping University Hospital, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  4. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  5. Brooke Army Medical Center, Fort Sam Houston, TX, USA

    Steven E. Wolf M.D.

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Cancio, L.C., Wolf, S.E. (2012). A history of burn care. In: Jeschke, M.G., Kamolz, LP., Sjöberg, F., Wolf, S.E. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0348-7_1

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