BURNS PREVENTION & CARE

FOCUS ON THE EVIDENCE

ANZBA ASM 2008 ● 16 - 19 September 2008 ● Sofitel, Melbourne, Australia

Invited Speakers

Dr Steven E WolfSteven E Wolf, M.D.

Professor

Director, US Army Institute of Surgical Research Burn Center Brooke Army Medical Center, Fort Sam Houston, TX UTHSCSA

Betty and Bob Kelso Distinguished Chair in Burn and Trauma Surgery

Dr. Wolf is Director of the Burn Center at Brooke Army Medical Center, the first civilian medical director of this world-renowned burn center. He received his medical degree from the University of Texas Medical Branch/Galveston in 1990 and completed his residency training at the University of Missouri at Kansas City in 1995. He completed a research fellowship in trauma and burns as well as a clinical fellowship, both of these at Shriners Hospital for Children/UTMB. His research interests involve the effect of injury on nutrition and muscle metabolism and the prevention and treatment of burn scarring.

 

Selected articles on PubMed:  

> Wolf SE. Nutrition and metabolism in burns: state of the science, 2007. J Burn Care Res. 2007 Jul-Aug; 28(4):572-6.

> Wolf SE, Edelman LS, Kemalyan N, Donison L, Cross J, Underwood M et al.  Effects of oxandrolone on outcome measures in the severely burned: a multicenter prospective randomized double-blind trial. J Burn Care Res. 2006 Mar-Apr; 27(2):131-9; discussion 140-1.

  

Professor Palmer BesseyProfessor Palmer Q. Bessey, MD, MS, FACS

Professor of Surgery, Associate Director, William Randolph Hearst Burn Centre, NY

Dr.  Bessey is Professor of Surgery and Associate Director of the William Randolph Hearst Burn Center at the Weill Cornell Medical Center and New York Presbyterian Hospital in New York City.

He grew up in New Jersey, attended public schools, and graduated from Williams College in Massachusetts, officially majoring in Chemistry but spending his time in the Theatre.  He attended the College of Medicine at the University of Vermont, where he developed an interest in caring for sick people and first encountered a burn patient, as well as a Stryker frame.  He has also earned masters degrees from the University of Oregon (Chemistry) and recently from Columbia University (Epidemiology).  He completed a surgical internship and residency at the University of Alabama at Birmingham, and while there, began regular participation in the care of critically ill burn patients.  After a research fellowship in metabolism and nutrition at the Harvard Medical School and Brigham and Women's Hospital in Boston, he returned to Alabama on the faculty. 

He has been a bit of an academic vagabond and also served on the surgical faculties of Washington University in St.  Louis, and the University of Rochester, before moving to New York City in 2000.  Dr.  Bessey's current interests include the use of large, health care data bases to assess outcomes and to improve systems of care for injured patients.  He works closely with the National Burn Repository of the American Burn Association. Though he never intended to be a burn surgeon, he came to enjoy the holistic and comprehensive nature of burn care, and he also realized what a privilege it was to be a part of a burn team.  The commitment, passion, and love, which the nurses, therapists, dietitians, social workers, and technicians bring to their patient is unparalleled in Medicine.

Selected articles on PubMed:  

> Bessey PQ, Arons RR, Dimaggio CJ, Yurt RW. The vulnerabilities of age: burns in children and older adults. Surgery 2006 40(4):705-15

> Latenser BA, Miller SF, Bessey PQ, Browning SM, Caruso DM, Gomez M, Jeng JC, Krichbaum JA, Lentz CW, Saffle JR, Schurr MJ, Greenhalgh National Burn Repository 2006: a ten-year review. J Burn Care Res. 2007 Sep-Oct; 28(5):635-58.

 

Gretchen SummerDr Gretchen J. Summer, RN

Associate Director, Nursing Research Program, Department of Patient Care Services, Kaiser Permanente Northern California Regional Division, Oakland, California.

Dr. Summer received her BS (nursing) from the University of Washington in Seattle, after working as an acute care nurse and in the University of Washington Burn/Plastics and Pediatric Trauma Center at Harborview Medical Center. During that time she developed an academic interest in burn pain and began her involvement in research in the area of burn injuries and burn pain. After beginning her graduate studies at the University of California, San Franicisco (UCSF), she came to realize that we understand little about the pathophysiology of burn pain, one of the most severe and difficult to treat clinical pain conditions. Dr. Summer became convinced that human testing of physiological and biochemical mediators of burn inflammation was premature and that her greatest contribution to knowledge of burn pain would be through basic science experimentation. She arranged to spend an elective block in the laboratory of Dr. Manon Choinière at L’Hotel Dieu Burn Center affiliated with McGill University in Montreal, Quebec, to develop skills in animal models of burn injury and immune function associated with burn injury.

After returning to UCSF, she established herself in the laboratory of Dr. Jon Levine, an internationally recognized scientist in the field of peripheral pain mechanisms. As part of this effort, she collaborated with Dr. Linda Sorkin at UC, San Diego, to develop a burn-injury pain model; a model which she further developed, in part with the help of Dr. Levine, into the first partial-thickness burn injury that mimics the wide variability in the intensity of burn pain over the time course observed clinically; an accomplishment that makes it possible to study the mechanisms of burn pain and to target specific molecules that contribute to acute and chronic burn pain as well as to test for the effect of therapeutic agents on burn pain over time. She used this model in collaboration with Dr. Levine to evaluate mechanisms in pain sensory neurons that mediate burn pain.

Dr. Summer also developed a collaboration with Dr. James Eisenach at Wake-Forest University, to measure the production of cytokines in burn-injured tissue, which allowed her to begin to model changes in burn-injured tissue that may produce pain in burn patients as well as to design experiments in which to determine whether this profile changes over time. Based on data from this collaboration, it is now clear that the profile of cytokines in burn-injured tissue differs significantly from that following, for example, trauma or surgery. This groundbreaking work has laid the foundation, and provided the model, for further testing of inflammatory mediators and antagonists. In recognition of the critical need to develop research methods to address the mechanism of procedural pain in the burn-injured patient, an important area of clinical nursing and Nursing Science, Dr. Summer received the 2006 Dissertation Award from the UCSF School of Nursing. Dr. Summer is currently Associate Director of the Kaiser Permanente Northern California Regional Division, Patient Care Services, Nursing Research Program where she is committed to advance the knowledge of nursing science to improve nursing practice and patient care.

 

Selected articles on PubMed:

> Summer GJ, Puntillo KA, Miaskowski C, Green PG, Levine JD. Burn injury pain: the continuing challenge. J Pain. 2007 Jul;8 (7):533-48.

Dale EdgarMr Dale Edgar

McComb Clinical Researcher

Senior Physiotherapist, Royal Perth Hospital

A senior physiotherapist and researcher for over 14 years, the past 11 have been devoted to burn survivor rehabilitation in a number of Australian burn units. Education and observational visits around the world have given Dale an insight into the issues of both developing and established burn services.

Dale lectures at the Curtin University of Technology, University of Notre Dame and the University of Western Australia. He supervises a number of medical and physiotherapy undergraduate research projects.

Currently engaged in his own clinical doctorate project examining the management of acute burn swelling, Dale is focused on bringing high quality science to the bedside and the honest dissipation of results through publication.