Services

WHAT TYPE OF DRESSING SHOULD WE USE AND WHEN?

With all burn patients, it is important to initially stop the burning process. Due to size of injury, a dry dressing may be recommended to minimize heat loss.

SHOULD THE BURN INJURY TAKE PRIORITY OVER OTHER TRAUMATIC INJURIES?

Always treat patients according to CPR and Trauma Protocol. Overlook the burn first and ensure no other traumatic or airway injuries are present. Always use airway and c-spine precautions. Once you do get to the burn evaluation stage, stop the burning process first.

WHAT ARE THE GENERAL GUIDELINES FOR FLUID RESUSCITATION, INCLUDING WHAT FLUID, HOW MUCH AND LR VS NS?

In a pre-hospital setting, set fluid to:

  • Less than 5 years old – 125 cc/hr
  • 6-13 years – 250 cc/hr
  • Older than 13 years – 500 cc/hr

Once a patient is in the Emergency Department, use the Parkland Formula to calculate fluids:

  • 2-4 cc Ringers Lactate x kg body weight x percent burn
  • Give the first half over the first 8 hours, and the remainder over the next 16 hours.
    • 2 cc for 14 years or older
    • 3 cc for children younger than 14 years
    • 4 cc for electrical burn injuries

Urine output is an indication of the progression and treatment of hypovolemic shock, or burn shock. Place Foley to accurately measure urine. Titrate ringers lactate based on urine output:

  • Adult or young adolescent: 30 to 50 cc/hr
  • High-voltage electrical injury: 75 to 100 cc/hr
  • Children under 30kg: 1 cc/kg/hr

If there is no urine output, increase rate of fluids by 1/3. If there is only a scant amount of dark or concentrated urine, pigments, myoglobin, and/or hemoglobin may be blocking the kidney, especially in a high-voltage electrical burn. If urine output and pigment clearing do not respond to increased fluid administration, promptly consult a burn center surgeon.

 

WHAT ARE THE GENERAL GUIDELINES FOR WHEN TO INTUBATE?

Airway Management

  • Administer high flow 100% oxygen to all burn patients.
  • Be prepared to suction and support ventilation if necessary.
    • Signs of a possible inhalation injury:
      • Burned in an enclosed area
      • Dark or reddened oral or nasal mucosa
      • Burns to the face, lips, nose, including singed eyebrows and nasal hairs
      • Carbon or soot on teeth, tongue, or oral pharynx
      • Raspy, hoarse voice or cough
      • Stridor or inability to clear secretions may indicate impending airway occlusion.
  • If you suspect an inhalation injury, consider intubation.
WHY IS IT IMPORTANT TO QUICKLY TREAT BURNS TO HANDS AND FEET?

Burns to hands and feet need special attention because of the possible impact on functionality. Timely evaluation by a burn surgeon or specialist is always recommended.

WHY SHOULD WE NOT USE ICE ON BURN PATIENTS?

Ice can cause further tissue damage, even resulting in frostbite. It can also cause burn patients to become cold, which could lower core body temperatures and cause additional complications. Damaged tissue caused by ice can impede the healing process.

HOW DO WE APPLY THE RULE OF NINES?

9

WHAT SHOULD WE DO IF WE HAVE A TRAUMATIC INJURY TO THE HAND OR OTHER EXTREMITY?

Transport the patient to the closest, most-appropriate facility as soon as possible. While treating, make sure to control the bleeding and keep the extremity elevated and wrapped with lightly moistened gauze. If a digit or larger part is amputated, wrap it in a moist gauze and place in a sterile plastic bag. Place the bag on top of ice for transport.

ARE THERE DIFFERENT PROTOCOLS FOR ELECTRICAL INJURIES?

All electrical injuries should be treated as a trauma. Patients should have cardiac monitoring during transport and in the emergency room. Asystole is the most common cause of death at the scene. Stabilize the wound at the point of initial contact and exit.

ARE THERE DIFFERENT PROTOCOLS FOR CHEMICAL INJURIES?

Chemical injuries often require flushing with lots of water. With eye injuries, flush immediately with saline solution.

WHAT OTHER INJURIES AND ILLNESSES CAN BE TREATED BY BURN AND RECONSTRUCTIVE CENTERS OF AMERICA?

Apart from acute burn injuries, we also treat wounds, facial injuries, complex extremity injuries, including complex hand injuries, complex soft tissue defects, infections affecting the skin structures, including Steven Johnson syndrome and others, skin-sloughing disorders, complicated or refractory wounds, as well as offering long-term reconstruction services and scar revision treatments for burn survivors and beyond.

IF I CALL BURN AND RECONSTRUCTIVE CENTERS OF AMERICA WITH A REFERRAL, WHO DO I TALK TO?

Your initial call to 855-863-9595 will be answered by one of our skilled operators who will connect you directly with one of our burn experts – a burn surgeon or mid-level practitioner – who will begin the process of transferring or scheduling a follow-up appointment for the patient at one of our facilities. Our expert can also answer questions and offer assistance with initial treatment and transfer prep.

WHAT IS THE MAIN DANGER OF A CIRCUMFERENTIAL BURN?

Circumferential injuries require hourly pulse checks to confirm adequate profusion. If swelling occurs and there’s a risk of a compartment injury, an escharotomy or fasciotomy may be performed at the burn center to release the pressure.

WHY IS IT IMPORTANT TO PROPERLY TREAT A PATIENT'S PAIN?

To help with increased consumption of oxygen, morphine sulfate is usually used (if not contra-indicated). For adults, user 3-5 mg IV q 10 minutes or as needed. For children, titrate IV morphine sulfate by weight (O1/mg/kg/dose) or consult a burn center surgeon.

Immediate Emergency Burn Care
  1. Treat according to BLS or Protocol
  2. Use airway and C-Spine precautions.
  3. Stop the burning process.
First Aid for the three major categories

THERMAL BURNS

  • Stop the burning process with water
  • Remove all clothing and jewelry
  • Monitor pulses in circumferentially burned extremity
  • Keep patient warm to avoid hypothermia

ELECTRICAL BURNS

  • BE SAFE: Turn off power source or remove source before rescue
  • Monitor for cardiac arrhythmias
  • Start CPR if needed
  • Remove clothing/shoes/jewelry
  • Document pulses of affected extremities
  • Keep patient warm to avoid hypothermia

CHEMICAL BURNS

  • Remove all clothing/shoes/jewelry (these can trap chemicals)
  • Flush for one hour at the scene if no other trauma and the patient’s vital signs are stable
  • Brush powder off before flushing with water; flush with copious water by shower or hose for an additional hour at the local emergency room
  • Keep patient warm to avoid hypothermia
Airway Management
  1. Administer high flow 100% oxygen to all burn patients. Be prepared to suction and support ventilation as necessary.
  2. If you suspect an inhalation injury, consider intubation. An inhalation injury may be present if you observe the following:
    • Burned in an enclosed space
    • Dark or reddened oral and/or nasal mucosa
    • Burns to the face, lips, nares, singed eyebrows, singed nasal hairs
    • Carbon or soot on teeth, tongue, or oral pharynx
    • Raspy, hoarse voice or cough
    • Stridor or inability to clear secretions may indicate impending airway occlusion
Patient History

Obtain the following patient information:

  • How was the patient burned?
  • Rule out associated trauma
  • Medical history
  • Current medications
  • Allergies
  • Last meal
  • Drug and/or alcohol history

Provide Tetanus Toxoid prophylaxis as indicated.

PAIN MANAGEMENT

Give all pain medication via IV. Provide Morphine Sulfate (if not contraindicated) in the following proportions:

  • Adults: 3-5 mg IV q 10 minutes or prn
  • Children: titrate IV Morphine Sulfate by weight (0.1 mg/Kg/dose) or consult Burn Center surgeon
  • Do not use ice or iced normal saline as a comfort measure

NASOGASTRIC (NG) TUBE PLACEMENT

Place Ng tube and decompress stomach if nausea and vomiting are present, if patient is intubated or TBSA greater than 20%. Keep patient NPO.

Circumferential Burns

Consult a Burn Center surgeon concerning circumferential burns of the extremities or thorax. An indicator of decreased blood flow due to circumferential burns is slowing of capillary refill or diminished pulses. Palpate pulses, if not palpable, then use a Doppler ultrasound device. If unable to discern pulses, consult a Burn Center surgeon.

Deep circumferential burns of the chest may impair or prevent mechanical ventilation of the burn victim. Escharotomies are rare but occasionally necessary at the referring facility. Consult a Burn Center surgeon.

PREVENTING AND TREATING HYPOTHERMIA

  • Wrap patient in clean or sterile dry sheet
  • Place blankets over patient to ensure warmth
  • Cover head with extra layer
  • Warm fluids if possible
Hallmarks of child abuse

WHAT MAKES BURNS SUSPICIOUS FOR ABUSE

  • Unexplained burn
  • Implausible history
  • Inconsistent history
  • Delay in seeking medical care
  • Frequent injuries, illnesses
  • Child accuses an adult
  • One parent accuses the other
  • Alleged self-inflicted
  • Alleged sibling-inflicted
  • Pattern of burn
  • Immersion burns
  • Rigid contact burns
  • Other signs of abuse/neglect
  • Prior Child Protective Services involvement

If child abuse/neglect is suspected, please contact the local county Child Protective Services Office as soon as possible.

Fluid Resuscitation

Calculate Fluids: Parkland Formula

Adults: Ringer lactate: 4ml x weight in kg x %TBSA burn. Give first half of fluids over first 8 hours. Give remaining fluid over next 16 hours. Children over 10 years old: use same formula as above

Children Under 10 Years Old: Use the same formula with addition of maintenance fluid of D5W to maintain glucose levels. Consult Burn Center Surgeon

Consider High Dose Vitamin C Therapy for TBSA > 30%. Call the Burn Center at (855) 863-9595

Estimate depth of burn injury

DETERMINE THE DEPTH OF THE BURN INJURY USING THESE GUIDELINES:

1st Degree (Superficial Partial Thickness)
Reddened, painful warm to touch; no blisters or skin sloughing, e.g. sunburn

2nd Degree (Partial Thickness)
Reddened, blistered, painful to touch, blanches to touch; when blister derided, weeps fluid from wound. Regularly re-assess second degree burns to ensure the injury had not converted to third degree.

3rd Degree (Full Thickness)
Black, brown, white, or leathery wound, firm in appearance; does not blanch and is not painful to touch

4th Degree (Full Thickness)
Charred appearance; burns that extend below the dermis and subcutaneous fat into the muscle bone or tendon

ABA Criteria for referral

The American Burn Association has identified the following injuries as requiring referral to a burn center after initial assessment and treatment:

  1. Partial thickness burns greater than 10% total body surface area (TBSA)
  2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints
  3. Any third-degree burn
  4. Electrical burns, including lightning injury
  5. Chemical burns
  6. Inhalation injury
  7. Burn injury in patients with pre-existing medical disorders that could complicate management, prolong recovery, or affect mortality
  8. Any patients with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk of morbidity or mortality. In such cases, if trauma poses the greater immediate risk, the patient should be initially stabilized in a trauma center before being transferred to a burn center. Physician judgement will be necessary in such situations and should be in concert with the regional medical control plan and triage protocols
  9. Burned children in hospitals without qualified personnel or equipment for the care of children
  10. Burn injury in patients who will require special social, emotional or long-term rehabilitation

For questions regarding a burn injury, regardless of size, please call (855) 863-9595

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DAVID ADCOCK, MD
JMS | JACKSON, MS
CLAUS BRANDIGI, MD, FACS
MEDICAL DIRECTOR - JMS | Austell, GA
RICH CARTIE, MD
MEDICAL DIRECTOR OF PEDIATRIC CRITICAL CARE - JMS | AUGUSTA, GA
J.E. COATES, JR., DO, FACOS, FACS
JAMES COLLINS, MD
JMS | AUGUSTA, GA
JUAN COLÓN-SANTINI, MD, FAAP
PEDIATRICS - JMS | AUGUSTA, GA
DEREK M. CULNAN, MD
JMS | JACKSON, MS
SHAWN FAGAN, MD, FACS
CHIEF MEDICAL OFFICER - BRCA | AUGUSTA, GA
PHILIP FIDLER, MD, FACS
JMS | AUGUSTA, GA
JEFFREY T. GIBBS, MD
JMS | JACKSON, MS
ZAHEED HASSAN, MD
VICE PRESIDENT - BRCA | AUGUSTA, GA
BOUNTHAVY HOMSOMBATH, MD
JMS | AUGUSTA, GA
WILLIAM LINEAWEAVER, MD, FACS
MEDICAL DIRECTOR - JMS | JACKSON, MS
Chief Research Officer - BRCA
FRED MULLINS, MD, FACS
MEDICAL DIRECTOR - JMS | AUGUSTA, GA
PRESIDENT OF BRCA
HERMANN ORLET, MD, FACS
JMS | AUGUSTA, GA
RAUL PONTE, MD
PEDIATRICS - JMS | AUGUSTA, GA
Alex Senchenkov, MD, FACS
JMS | AUGUSTA, GA
FENG ZHANG, MBBS
ASSISTANT CHIEF RESEARCH OFFICE - BRCA | JACKSON, MS
DAVID ADCOCK, MD
JMS | JACKSON, MS

DEGREE

  • M.D., VANDERBILT UNIVERSITY SCHOOL OF MEDICINE, NASHVILLE, TN, 1985-1989
  • B.A., MARYVILLE COLLEGE, MARYVILLE, TN, 1973-1977

RESIDENCY

  • PLASTIC SURGERY, VANDERBILT UNIVERSITY SCHOOL OF MEDICINE, NASHVILLE, TN, 2000-2002
  • GENERAL SURGERY, MEDICAL COLLEGE OF OHIO, TOLEDO, OH, 1995-2000
  • RESEARCH, MEDICAL COLLEGE OF OHIO, DEPARTMENT OF SURGERY, TOLEDO, OH, 1996-1997
  • GENERAL SURGERY, MARSHALL UNIVERSITY SCHOOL OF MEDICINE, HUNTINGTON, WV, 1994-1995
  • RESEARCH, UNIVERSITY OF TENNESSEE, DEPARTMENT OF SURGERY, CHATTANOOGA, TN, 1990-1991
  • GENERAL SURGERY, UNIVERSITY OF TENNESSEE, CHATTANOOGA, TN, 1989-1991

FELLOWSHIP

  • RESEARCH, VANDERBILT UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF PLASTIC SURGERY, NASHVILLE, TN, 1997-1999
  • RESEARCH, VANDERBILT UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF PATHOLOGY, NASHVILLE, TN, 1987

BOARD CERTIFICATION

  • AMERICAN BOARD OF PLASTIC SURGERY
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CLAUS BRANDIGI, MD, FACS
MEDICAL DIRECTOR - JMS | Austell, GA

DEGREE

  • M.D., MEDICAL COLLEGE OF GEORGIA, AUGUSTA, GA, 1991-1995
  • B.A., PSYCHOLOGY, EMORY UNIVERSITY, ATLANTA, GA, 1986-1990

RESIDENCY

  • GENERAL SURGERY – CHIEF RESIDENT, ATLANTA MEDICAL CENTER, ATLANTA, GA, 2001-2002
  • GENERAL SURGERY, ATLANTA MEDICAL CENTER, ATLANTA, GA, 1998-2001

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY

CLINICAL INTERESTS

  • ACUTE BURN SURGERY – ADULT AND PEDIATRIC
  • RECONSTRUCTIVE BURN SURGERY – ADULT AND PEDIATRIC
  • NECROTIZING SOFT TISSUE INFECTIONS

OTHER LANGUAGES

  • GERMAN
  • ITALIAN
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RICH CARTIE, MD
MEDICAL DIRECTOR OF PEDIATRIC CRITICAL CARE - JMS | AUGUSTA, GA

DEGREE

  • M.D., UNIVERSITY OF ROCHESTER, ROCHESTER, NY, 1991-1995
  • B.A., BIOLOGY & PSYCHOLOGY, UNIVERSITY OF ROCHESTER, ROCHESTER, NY, 1987-1991

RESIDENCY

  • PEDIATRICS, EAST CAROLINA UNIVERSITY, GREENVILLE, NC, 1995-1998

FELLOWSHIP

  • CRITICAL CARE MEDICINE, CHILDREN’S HOSPITAL LOS ANGELES, LOS ANGELES, CA, 1999-2001
  • PEDIATRIC CRITICAL CARE MEDICINE, GEORGETOWN UNIVERSITY CHILDREN’S MEDICAL CENTER, WASHINGTON, D.C., 1998-1999

BOARD CERTIFICATION

  • AMERICAN BOARD OF PEDIATRICS
  • PEDIATRIC CRITICAL CARE

CLINICAL INTERESTS

  • PEDIATRIC BURN
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J.E. COATES, JR., DO, FACOS, FACS

DEGREE

  • D.O., UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES, DES MOINES, IA, 1991-1995
  • B.S., BIOLOGY, UNIVERSITY OF NEVADA, LAS VEGAS, LAS VEGAS, NV, 1983-1990

RESIDENCY

  • CHIEF SURGICAL RESIDENT, MICHIGAN STATE UNIVERSITY AFFILIATED SURGICAL RESIDENCY, GARDEN CITY OSTEOPATHIC HOSPITAL, 1999-2000
  • SURGICAL RESIDENCY, MICHIGAN STATE UNIVERSITY AFFILIATED SURGICAL RESIDENCY, GARDEN CITY OSTEOPATHIC HOSPITAL, 1996-1999

FELLOWSHIP

  • TRAUMA/CRITICAL CARE FELLOWSHIP, THE TRAUMA CENTER AT PENN, UNIVERSITY OF PENNSYLVANIA, 2001-2002
  • TRAUMA FELLOWSHIP, UNIVERSITY OF NEVADA SCHOOL OF MEDICINE, UMC TRAUMA CENTER, LAS VEGAS, NV, 2000-2001

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY – GENERAL SURGERY, SURGICAL CRITICAL CARE
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JAMES COLLINS, MD
JMS | AUGUSTA, GA

DEGREE

  • M.D., UNIVERSITY OF NORTH CAROLINA, CHAPEL HILL, NC, 2005-2009
  • B.S., BIOLOGY, EAST CAROLINA UNIVERSITY, CHAPEL HILL, NC, 2003-2005

RESIDENCY

  • PLASTIC SURGERY, BAYLOR SCOTT AND WHITE, TEMPLE, TX, 2009-2015

BOARD CERTIFICATION

  • AMERICAN BOARD OF PLASTIC SURGERY

CLINICAL INTERESTS

  • BURN SURGERY
  • HAND SURGERY
  • MICROSURGERY
  • PLASTIC SURGERY
  • BODY LIFT/SKIN REDUCTION SURGERY
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JUAN COLÓN-SANTINI, MD, FAAP
PEDIATRICS - JMS | AUGUSTA, GA

DEGREE

  • M.D., UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE, SAN JUAN, PUERTO RICO, 1976-1980
  • PRE-MED, UNIVERSITY OF PUERTO RICO, MAYAGUEZ, PUERTO RICO, 1972-1976

RESIDENCY

  • UNIVERSITY PEDIATRIC HOSPITAL, SAN JUAN, PUERTO RICO, 1981-1983

BOARD CERTIFICATION

  • AMERICAN BOARD OF PEDIATRICS
  • NATIONAL BOARD OF MEDICAL EXAMINERS

CLINICAL INTERESTS

  • GENERAL PEDIATRICS

OTHER LANGUAGES

  • SPANISH
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DEREK M. CULNAN, MD
JMS | JACKSON, MS

DEGREE

  • M.D., RUTGERS UNIVERSITY, NEWARK, NJ, 2001-2005
  • B.A., BIOLOGY, DREW UNIVERSITY, MADISON, NJ, 1996-2000

RESIDENCY

  • GENERAL SURGERY, PENN STATE UNIVERSITY – HERSHEY MEDICAL CENTER, HERSHEY, PA, 2006-2012

FELLOWSHIP

  • BURN SURGERY AND SURGICAL CRITICAL CARE, University of Texas Medical Branch and Shriners Hospital for Children, Galveston, TX, 2015-2016
  • PLASTIC SURGERY, INDIANA UNIVERSITY, INDIANAPOLIS, IN, 2012-2015
  • Postdoctoral Research – Shock and Trauma/Critical Care, Penn State UNIVERSITY – HERSHEY MEDICAL CENTER, HERSHEY, PA, 2007-2009

BOARD CERTIFICATION

  • American Board of Surgery – General Surgery
  • American Board of Surgery – Surgical Critical Care
  • American Board of Plastic Surgery

Clinical Interests

  • Burn surgery – Adult and Pediatric
  • Acute Burn Care – Adult and Pediatric
  • Burn Reconstructive Surgery – Adult and Pediatric
  • Burn education
  • Non-burn Reconstructive Surgery
  • Surgical Critical Care
  • Hand surgery
  • Peripheral Nerve Injury
  • Microsurgery

Research Interests

  • Peripheral Nerve Injury
  • Burn Research
  • Microsurgery
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SHAWN FAGAN, MD, FACS
CHIEF MEDICAL OFFICER - BRCA | AUGUSTA, GA

DEGREE

  • M.D., BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, 1990-1994
  • B.S., EXERCISE SCIENCE, UNIVERSITY OF SOUTHERN CALIFORNIA, LOS ANGELES, CA, 1985-1989

RESIDENCY

  • GENERAL SURGERY – CHIEF RESIDENT, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, 1999-2001
  • GENERAL SURGERY, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, 1998-1999
  • GENERAL SURGERY, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, 1994-1996

FELLOWSHIP

  • CRITICAL CARE, UNIVERSITY OF TEXAS MEDICAL BRANCH, GALVESTON, TX, 2005-2006
  • GENERAL SURGERY, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, 1996-1998

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY – SURGICAL CRITICAL CARE

CLINICAL INTERESTS

  • BURN SURGERY
  • BURN METABOLISM
  • CRITICAL CARE
  • RECONSTRUCTIVE SURGERY
  • RESEARCH
  • SCAR MODULATION/LASER THERAPY
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PHILIP FIDLER, MD, FACS
Burn/Trauma/Critical Care

DEGREE

  • M.D., UNIVERSITY OF KANSAS SCHOOL OF MEDICINE, KANSAS CITY, KS, 1990-1994
  • B.A., BIOLOGY, STATE UNIVERSITY OF NEW YORK AT BINGHAMTON, HARPUR COLLEGE, BINGHAMTON, NY, 1987-1990

RESIDENCY

  • GENERAL SURGERY, STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT BROOKLYN (DOWNSTATE), BROOKLYN, NY, 1995-1999

FELLOWSHIP

  • BURN SURGERY, HARVARD MEDICAL SCHOOL, MASSACHUSETTS GENERAL HOSPITAL AND SHRINERS HOSPITALS FOR CHILDREN, BOSTON, MA, 2000-2001
  • TRAUMA SURGERY AND SURGICAL CRITICAL CARE FELLOWSHIP, YALE SCHOOL OF MEDICINE, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT, 1999-2000

BOARD CERTIFICATIONS

  • AMERICAN BOARD OF SURGERY – SURGERY
  • AMERICAN BOARD OF SURGERY – SURGICAL CRITICAL CARE

CLINICAL INTERESTS

  • BURN SURGERY
  • BURN RECONSTRUCTION
  • CRITICAL CARE
  • INHALATION INJURY
  • RE-INTEGRATION OF BURN SURVIVORS
  • SKIN SUBSTITUTES

OTHER LANGUAGES

  • HEBREW
  • SPANISH
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JEFFREY T. GIBBS, MD
JMS | JACKSON, MS

DEGREE

  • M.D., M.B.A., DREXEL UNIVERSITY COLLEGE OF MEDICINE, PHILADELPHIA, PA, 2002-2007
  • B.S., BIOLOGY, WILKES UNIVERSITY, WILKES-BARRE, PA, 1998-2002

INTERNSHIP

  • GENERAL SURGERY, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL, 2007-2008

RESIDENCY

  • PLASTIC SURGERY, INDIANA UNIVERSITY, INDIANAPOLIS, IN, 2013-2016
  • GENERAL SURGERY, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL, 2008-2012

FELLOWSHIP

  • SURGICAL CRITICAL CARE FELLOWSHIP, THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA, 2016-2017
  • BURN FELLOWSHIP, INDIANIA UNIVERSITY, INDIANAPOLIS, IN, 2012-2013

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY

CLINICAL INTERESTS

  • BURN SURGERY
  • RECONSTRUCTIVE SURGERY
  • CRITICAL CARE
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ZAHEED HASSAN, MD
VICE PRESIDENT - BRCA | AUGUSTA, GA

DEGREE

  • M.D., INSTITUTE OF POST GRADUATE MEDICINE & RESEARCH, UNIVERSITY OF DHAKA, DHAKA, BANGLADESH, 1981-1987
  • JHENIDAH CADET COLLEGE, JHENIDAH, BANGLADESH, 1979-1980

RESIDENCY

  • PLASTIC AND RECONSTRUCTIVE SURGERY, UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS, 1998-2000
  • GENERAL SURGERY, NYU MEDICAL CENTER, NEW YORK, NY, 1994-1997

FELLOWSHIP

  • BURN SURGERY, UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS, 1997-1998

CLINICAL INTERESTS

  • ACUTE BURN SURGERY
  • GENERAL PLASTIC SURGERY
  • RECONSTRUCTIVE BURN SURGERY

OTHER LANGUAGES

  • BENGALI
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BOUNTHAVY HOMSOMBATH, MD
JMS | AUGUSTA, GA

DEGREE

  • M.D., MOREHOUSE SCHOOL OF MEDICINE, ATLANTA, GA, 2001-2005
  • B.A., LIBERAL ARTS, HARVARD UNIVERSITY, CAMBRIDGE, MA, 1997-2000

RESIDENCY

  • GENERAL SURGERY, NORTH SHORE UNIVERSITY HOSPITAL, MANHASSET, NY, 2006-2011

FELLOWSHIP

  • CRITICAL CARE AND BURN, UNIVERSITY OF TEXAS MEDICAL BRANCH, GALVESTON, TX, 2011-2012

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY
  • SURGICAL CRITICAL CARE

CLINICAL INTERESTS

  • BURN SURGERY
  • BURN RECONSTRUCTIVE SURGERY
  • SURGICAL CRITICAL CARE

OTHER LANGUAGES

  • LAO
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WILLIAM LINEAWEAVER, MD, FACS
MEDICAL DIRECTOR - JMS | JACKSON, MS
Chief Research Officer - BRCA

DEGREE

  • M.D., UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE, GAINESVILLE, FL, 1972-1976

RESIDENCY

  • PLASTIC SURGERY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO, SAN FRANCISCO, CA. 1984-1986
  • GENERAL SURGERY, UNIVERSITY OF FLORIDA, GAINESVILLE, FL, 1979-1983

FELLOWSHIP

  • HAND AND MICROSURGERY, DAVIES MEDICAL CENTER, SAN FRANCISCO, CA, 1986-1987

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY
  • AMERICAN BOARD OF PLASTIC SURGERY

CLINICAL INTERESTS

  • ABDOMINAL WALL RECONSTRUCTION
  • ACUTE AND SECONDARY BURN CARE
  • HAND SURGERY
  • MICROSURGICAL FLAP SURGERY
  • PERIPHERAL NERVE SURGERY
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FRED MULLINS, MD, FACS
MEDICAL DIRECTOR - JMS | AUGUSTA, GA
PRESIDENT OF BRCA

DEGREE

  • M.D., MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE, 1992-1996
  • B.S.-P.A., MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE, AUGUSTA, GA, 1989-1991
  • AUGUSTA COLLEGE, AUGUSTA, GA, 1985-1989

RESIDENCY

  • GENERAL SURGERY, SPARTANBURG REGIONAL HEALTHCARE SYSTEM, SPARTANBURG, SC, 1996-2001

BOARD CERTIFICATIONS

  • AMERICAN BOARD OF SURGERY

CLINICAL INTERESTS

  • BURN SURGERY
  • BURN RECONSTRUCTIVE
  • ACUTE BURN CARE
  • BURN EDUCATION
  • BURN RESEARCH
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HERMANN ORLET, MD, FACS
JMS | AUGUSTA, GA

DEGREE

  • M.D., LOMA LINDA UNIVERSITY MEDICAL SCHOOL, LOMA LINDA, CA, 1962-1966
  • B.S., BIOLOGY, UNIVERSITY OF TOLEDO, TOLEDO, OH, 1958-1962

RESIDENCY

  • PLASTIC SURGERY, SAINT FRANCIS MEMORIAL HOSPITAL, SAN FRANCISCO, CA, 1973-1976
  • GENERAL SURGERY, SANTA BARBARA COTTAGE HOSPITAL, SANTA BARBARA, CA, 1970-1973

BOARD CERTIFICATION

  • AMERICAN BOARD OF PLASTIC SURGERY

CLINICAL INTERESTS

  • PLASTIC SURGERY
  • RECONSTRUCTIVE SURGERY

OTHER LANGUAGES

  • GERMAN
  • HUNGARIAN
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RAUL PONTE, MD
PEDIATRICS - JMS | AUGUSTA, GA

DEGREE

  • M.D., UTESA SCHOOL OF MEDICINE, DOMINICAN REPUBLIC, 1982-1985
  • B.S., UNIVERSITY OF FLORIDA, GAINESVILLE, FL, 1979-1981
  • B.A., HISTORY, FAYETTEVILLE STATE UNIVERSITY, FAYETTEVILLE, NC, 1975-1979

RESIDENCY

  • PEDIATRICS, HAHNEMANN UNIVERSITY HOSPITAL, PHILADELPHIA, PA, 1986-1988

FELLOWSHIP

  • PEDIATRIC CRITICAL CARE MEDICINE, UNIVERSITY OF FLORIDA MEDICAL CENTER, JACKSONVILLE, FL, 1988-1991
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Alex Senchenkov, MD, FACS
JMS | AUGUSTA, GA

Degree

  • M.D., Ukraine State Medical University, Kiev, Ukraine, 1986-1993

Residency

  • Plastic Surgery, Mayo Clinic, Rochester, MN, 2004-2006
  • General Surgery, Medical College of Ohio, Toledo, OH, 1999-2004

Fellowship

  • Head and Neck Surgical Oncology, University of Cincinnati College of Medicine, Cincinnati, OH, 2007-2008
  • Microvascular Reconstructive Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, 2006-2007

Board Certification

  • American Board of Surgery
  • American Board of Plastic Surgery
  • American Board of General Surgery

Clinical Interests

  • Burn, Trauma, and Cancer Reconstruction
  • Reconstructive Microsurgery (Head & Neck, Breast/DIEP, Limb Salvage, Replantation)
  • Reconstructive and Cosmetic Surgery of the Face
  • Functional and Cosmetic Nasal Surgery
  • Adult Craniofacial Surgery and Maxillofacial Trauma
  • Head & Neck Tumors
  • Minimally – Invasive Thyroid & Parathyroid Surgery
  • Skin and Soft Tissue Tumors (Skin Cancers, Melanoma, Sarcoma)

Other Languages

  • Russian
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FENG ZHANG, MBBS
ASSISTANT CHIEF RESEARCH OFFICE - BRCA | JACKSON, MS

DEGREE

  • PH.D., MICROSURGERY AND ORTHOPEDIC SURGERY, FU DAN UNIVERSITY, SHANGHAI, CHINA, 1986-1991
  • M.B.B.S., FU DAN UNIVERSITY SCHOOL OF MEDICINE, SHANGHAI, CHINA, 1978-1983

RESIDENCY

  • MICROSURGERY AND ORTHOPEDIC SURGERY, ZHONGSHAN HOSPITAL, FU DAN UNIVERSITY SCHOOL OF MEDICINE, SHANGHAI, CHINA, 1986-1989
  • GENERAL SURGERY, ZHONGSHAN HOSPITAL, FU DAN UNIVERSITY SCHOOL OF MEDICINE, SHANGHAI, CHINA, 1984-1986

FELLOWSHIP

  • PLASTIC SURGERY RESEARCH, DIVISION OF PLASTIC SURGERY, DEPARTMENT OF FUNCTIONAL RESEARCH, STANFORD UNIVERSITY, STANFORD, CA, 1993-1998
  • MICROSURGERY RESEARCH, DEPARTMENT OF MICROSURGICAL REPLANTATION TRANSPLANTATION, CALIFORNIA PACIFIC MEDICAL CENTER, SAN FRANCISCO, CA, 1991-1993
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Acute Burn Care
Breast Reconstruction
Frostbite
Hand & Extremity Injuries
Hyperbaric Oxygen Therapy
Laser Scar Revision
Outpatient Clinic
Reconstructive Surgery
Skin & Soft Tissue Disorders
Acute Burn Care
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Breast Reconstruction
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Frostbite
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Hand & Extremity Injuries
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Hyperbaric Oxygen Therapy
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Laser Scar Revision
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Outpatient Clinic
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Reconstructive Surgery
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Skin & Soft Tissue Disorders
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Joseph M. Still Burn Symposium
February 24-25, 2019

Register Here

Established in 2007, the Joseph M. Still Burn Symposium is an annual gathering of medical professionals dedicated to the constant improvement of burn care in America. With sessions presented by leading experts and the availability of educational credits, the Symposium provides your company with a specific, targeted audience.

The event will be held at the Chateau Elan Resort and Winery (just north of Atlanta) in 2019.

Thank A Lineman License Plate
Ongoing

Learn More

Representatives with electric membership cooperatives, Electric Cities of Georgia, Georgia Power, MEAG Power, municipal systems, and other utilities have partnered with the Burn Foundation of America for the state’s first Georgia vehicle license plate to pay tribute to linemen.

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Joseph M. Still - Our Founder

Joseph M. Still, Jr., M.D., dedicated his entire professional life to improvements in the treatment of burn patients. He partnered with Doctors Hospital in Augusta to create the Joseph M. Still Burn Center, one of the world’s leading treatment facilities for burn victims.

His care for patients, however, carried beyond hospital walls. Dr. Still also founded the Southeastern Firefighters’ Burn Foundation, Inc., a non-profit organization devoted to helping burn patients and their families with non-medical necessities. The Foundation operates the Shirley Badke Retreat, a place for people to stay while their family members are in the burn center.

Leadership was a way of life for Dr. Still. At 13, he became an Eagle Scout, and numerous honors and achievements led to his nomination as one of the “Outstanding Young Men in America.” A Charlotte, N.C., native, Dr. Still attended Shorter College in Rome, Ga., where he received a Bachelor of Arts degree in biology and chemistry. He earned his medical degree from the Medical College of Georgia in 1965 and completed his residencies at Duke University in 1973. Education was important to Dr. Still; he not only encouraged others to further their education, but financially supported their efforts as well.

Dr. Still was also dedicated to his family. He and Sue have 10 children and 26 grandchildren. They enjoyed traveling the world together, including taking annual trips with their children. They also shared a love for animals, and expressed that through the care of more than 1,000 exotic birds.

Dr. Still was a visionary, seeing the bigger picture that most could not see. Determined, generous, compassionate, hard-working, risk taking, problem-solving are adjectives that only begin to describe this friend and family man who affected the lives of thousands, and was loved by just as many.

Doctors Hospital
3651 Wheeler Rd
Augusta, GA 30909
  • Nation’s largest Burn Center
  • 72 Beds dedicated for burn patients, including 36 ICU Beds, and 4 dedicated Operating Rooms
  • 354 Beds
  • Designated Burn and Trauma Center
  • Inpatient and Outpatient Care
  • Adult and Pediatric Care
  • Patient Family Member Guesthouse and Retreat DIRECTIONS
  • For appointments, please call (706) 651-3232 between the hours of 8am-5pm, Monday-Friday. After hours and on the weekends, please call (855) 863-9595.
Merit Health Central
1850 Chadwick Dr.
Jackson, MS 39204
  • 33 Beds dedicated for burn patients, including 13 ICU Beds and 2 Operating Rooms
  • 319 Beds
  • Designated Burn and Trauma Center
  • Inpatient and Outpatient Care
  • Adult and Pediatric Care
  • For appointments, please call (601) 376-2711 between the hours of 8am-5pm, Monday-Friday. After hours and on the weekends, please call (855) 863-9595.
South Georgia Medical Center
2501 North Patterson Street
Valdosta, GA 31602
  • 418 Beds
  • Outpatient Care
  • Adult and Pediatric Care
  • For appointments, please call (229) 433-1000 between the hours of 8am-5pm, Monday-Friday. After hours and on the weekends, please call (855) 863-9595.
Trident Medical Center
9330 Medical Plz Dr
Charleston, SC 29406
  • 407 Beds
  • Level II Trauma Center
  • Outpatient Care
  • Adult and Pediatric Care
  • For appointments, please call (843) 203-5796 between the hours of 8am-5pm, Monday-Friday. After hours and on the weekends, please call (855) 863-9595.
WellStar Cobb Hospital
3950 Austell Road
Austell, GA 30106
  • 25 Beds dedicated for burn patients, including 8 ICU Beds and 1 dedicated Operating Room
  • 382 Beds
  • Inpatient and Outpatient Care
  • Adult and Pediatric Care
  • For appointments, please call (470) 732-7070 between the hours of 8am-5pm, Monday-Friday. After hours and on the weekends, please call (855) 863-9595.
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Research

More than any single trait, it is the Burn Center's emphasis on research and technology that sets us apart. In addition to providing patients with the most advanced burn care solutions available, our focus keeps us at the top of research and development company lists when new product sites are being selected. The size of our patient population alone makes us a desirable location to conduct drug trials. For the past few years, our burn team has been among the largest group of presenters at both regional and national professional meetings. More importantly, the knowledge we glean today improves the quality of treatment and care we deliver tomorrow.

Mission Statement

The Joseph M. Still Research Foundation, Inc. is a not-for-profit, private organization affiliated with the Joseph M. Still Burn Center created with the following purposes:

  • To develop clinical research to improve the care of burn patients
  • To develop educational programs for members of the Burn and Wound Team
  • To provide assistance and teaching in burn care to under-developed countries, in response to burn disasters in particular
  • To disseminate new knowledge in epidemiology and management of burn-associated injuries and wounds
  • Prospective Phase II, III and IV pharmaceutical and medical device clinical trials in the following burn and wound treatment areas:
    • Systemic treatment
    • Anti-infectives
    • Skin substitutes to treat acute burn injuries
    • Supportive care modalities to reduce mortality
    • Various patient and environment of care medical devices
    • Observational/registry trials
    • Retrospective/Outcomes clinical trials, single and multi-patient case studies

For more information about research studies at the Joseph M. Still Research Foundation, contact through the information listed below.

Joseph M. Still Research Foundation, Inc.
3675 J. Dewey Gray Circle, Suite 200-B
Augusta, GA 30909
Ph. 706.364.2966 Fax: 706.364.2878
e-mail: info@jmsresearchfoundation.org

BRCA FOUNDATION

The BRCA Foundation is a 501(c)3 organization dedicated improving patient care, supporting patients and families after they have been discharged from one of our centers, and facilitating education about burn, wound and hand care throughout various medical communities.

Mission Statement
The healing and helping of patients goes far beyond the walls of our burn centers. The BRCA Foundation is committed to helping patients and their families, while continuously working to improve care throughout the world.

Our foundation was founded on three guiding principles:

  • Patient Support
  • Education & Scholarship
  • Community Outreach

To learn more about us or find out how you can help support our mission, please email: foundation@brcacares.com

Burn Symposium
Established in 2007, the Joseph M. Still Burn Symposium is an annual gathering of medical professionals dedicated to the constant improvement of burn care in America. With sessions presented by leading experts and the availability of educational credits, the Symposium provides your company with a specific, targeted audience.

The 2019 Joseph M. Still Burn Symposium will be held February 24-25, 2019 at the Chateau Elan Resort and Winery (just north of Atlanta).

All donations to BRCA Foundation are tax deductible.

BRCA Foundation
P.O. Box 3726
Augusta, Georgia 30914