Tertiary Burn Care Centre Research Articles

The Distribution and the Antimicrobial Susceptibility Features of Microorganisms Isolated From the Burn Wounds: A 10-Year Retrospective Analysis.

In this study, we aimed to evaluate the distribution features and antimicrobial susceptibility test results of the microorganisms isolated from the wounds of pediatric and adult patients with burn. The culture and susceptibility test results of the microorganisms, isolated from the wound swabs of the patients hospitalized in a tertiary-burn care center in 10-year period, were retrospectively screened on the microbiology department databases. Their distribution of isolated microorganisms regarding species and susceptibility test results were compared with previous studies. A total of 367 microorganisms, isolated from the burn wounds of 293 patients (13 ± 18.9 years, F/M: 0.93) (73 adults and 220 pediatric patients), were included in this study. A solitary agent was isolated in 239 (81.6%) patients, while 2 were isolated in 43 (14.7%) and 3 or more agents in 11 (3.8%). From these, 33% of the isolated microorganisms were gram-positive cocci, 61% were gram-negative bacteria, and 6% were Candida spp. The most common isolated microorganisms were Staphylococcus aureus (18.5%), Pseudomonas spp. (16.9%), and Escherichia coli (11.2%), while the least common was Streptococcus spp. (2.5%). Methicillin resistance was 15% among the S. aureus strains. No resistance was observed against levofloxacin, vancomycin, teicoplanin, linezolid, daptomycin, fusidic acid, and tigecycline in S. aureus strains. The highest resistance rates were observed against levofloxacin (64%), tobramycin (64%), pip/tazobactam (63%), imipenem (63%), and the lowest against colistin (5%) and ceftazidime (29%), among Pseudomonas spp. The most common causative agents in burn wound infections and their current antimicrobial susceptibility features should be well identified, in order for prevention of serious complications and optimal management the condition to occur.

Fibrin sealant for split-thickness skin graft fixation in burn wounds - An ancillary postulated role in scar modulation

• The percentage of graft take at the end of 15th post-operative day was higher in fibrin sealant group. • At end of six months, modified Vancouver scar scale score was better in fibrin sealant group. • Fibrin sealant group, less resting pain over the skin grafted site was reported. • Histopathological and immuno-histochemical staining showed better scar characteristics in fibrin sealant group at the end of six months follow up. Burn care was revolutionized by critical care and excision surgeries which drastically improved the survival rates of the patients. Another cornerstone and basic surgery in all these patients is the skin grafting. Traditionally skin grafts are fixed using sutures, staplers and cyanoacrylate glue. The study was conducted to compare the efficacy and effects of fibrin sealant and cyanoacrylate glue in graft fixation and scar characteristics after skin grafting in post burn raw areas. The study was conducted as a retrospective comparative cohort study with prospective follow-up conducted at a tertiary burn care centre in India over a period of one year which included patients between 18–50 years who presented with post burn raw areas and underwent skin graft fixation with fibrin sealant or cyanoacrylate glue. Data from 40 patients were collected and analyzed in the study. Group 1 (Fibrin sealant) and group 2 (Cyanoacrylate glue) included 20 patients each. The percentage of graft take at the end of 15th post-operative day was higher in group 1 in comparison to group 2 (95 % and 90.2 % respectively). Two patients had graft failure (Mean - 26.75 %) in group 1 in comparison to five in group 2 (Mean - 38.16 %). At end of six months, on modified Vancouver scar scale in categories of pigmentation, vascularity, thickness and pliability - the subjective scorings were better in group 1 overall. Histopathological and immuno-histochemical staining showed better scar characteristics in group 1. The use of fibrin sealant has shown better results when compared to cyanoacrylate glue in the fixation of skin grafts in post burn raw areas. The superior scores in clinical and histopathological scar characteristics in fibrin sealant group may indicate the role of Fibrin sealant in scar modulation.

Role of systemic antibiotic prophylaxis in acute burns: A retrospective analysis from a tertiary care center.

Burns are a worldwide problem with majority of them occurring in low and middle-income countries. The hurdles in treatment of burns in the resource restricted setting are unique and challenging. The role of intravenous antibiotics in reducing mortality and morbidity related to infection and sepsis has not been studied extensively in the Indian sub-continent. This was a retrospective study conducted at a tertiary burn care center in India over a period of six months with follow up of one month from the day of burn injury. Data from a total of 157 patients were collected and analysed. In Prophylaxis group (n = 77), sepsis was detected in 33 patients and 38 patients expired. In No Prophylaxis group (n = 80), sepsis was detected in 37 patients and 40 patients expired. In Inhalational burns subgroup, patients belonging to Prophylaxis group (n = 30) had 20 patients diagnosed with pneumonia while 22 patients did not survive till 30th post burn day. Patients in No Prophylaxis group who had inhalational burns were 38 in number. Pneumonia was diagnosed in 29 of them while 27 did not survive till 30th post burn day. In Pneumonia subgroup, patients belonging to Prophylaxis group had lower mortality rate as compared to No Prophylaxis group. Our study does not support the routine usage of antibiotic prophylaxis in patients with burn injuries, but their administration can be considered in certain specific subgroups like patients with inhalational burns and patients developing pneumonia. Pneumonia is an independent risk factor for mortality when no antibiotic prophylaxis is used in burn patients.

Superstition, Misconceptions, and Magical Beliefs in Burns Patients-A Cross-Sectional Study of 100 Patients.

Superstitious beliefs have been frequently encountered in our day-to-day practices among patients and caretakers. Though this is a common phenomenon, there is a paucity of data pertaining to these beliefs due to various reasons. Many of these beliefs are deep engraved into the culture and mindsets of the population. This is an observational study performed in Tertiary burn care center in India during period October 1, 2018 to January 31, 2019. Data from 100 patient units were collected through a set of questionnaires given to each of patient and their caregivers/family members and responses were collected and analyzed. In the food category of superstitions, there was a thought that white colored foods had to be avoided to avoid pus discharge and wound healing in 60% of the response; eating pomegranate or drinking the juice of pomegranate improves the hemoglobin in 80% of the response. Wearing various colored strings in various parts of the body seemed to be a dominant practice in 85% of the responses, wearing the hair with origin from human, donkeys, horses, and various animals was practiced in 45% of people and wearing peacock feathers was seen in 40% of patients. About 95% of the patients thought adversely to the idea of bathing or even contact of the water with the wounds. This study is an attempt to analyze the different parameters of superstition, misconception, and magical beliefs.

Tips in the management of burns

Burns is a serious health problem in our country. Burn management is a complex and resource intensive process and requires a dedicated multidisciplinary team working in coordination in all the aspects of burn care simultaneously. Most burn patients get treated by the general practitioner primarily and then referred to higher centers. Specialized burn centers are few in number, and affordable care is hard to find other than government run institutions. A lot of research has been done in the fields of burn resuscitation, nutrition, synthetic and biologic dressings, and surgical management of burn wounds, etc., and several advances have been made, but most institutes managing burns are restricted by their availability of resources and high patient load and hence adopt their own protocols based on their patient characteristics, resources, and experience in treating burns. Here, I have shared a few tips and wisdom I have gained in the management of burns based on my experience of almost 30 years in treating burns at a government run tertiary burn care center. Despite all efforts, severe burns are still associated with very high morbidity and mortality and so a concerted effort needs to be made at the national as well as grass root level to raise the awareness and education regarding burns safety and prevention of burns.

To evaluate how early operative intervention will increase the chances of limb survival in electrical burns-At a tertiary Burn care centre

Background: Electrical burns incidence is increasing due to increased industrialization and increased use of electricity and electric domestic appliances. High morbidity and mortality associated with increasing incidence of electric injury may consume alarming is high amount of resources and healthcare budget. Objective:To evaluate how early operative intervention will increase the chances of limb survival in electrical burns-at Safdarjung hospital burn unit over period of one year from January 2011 to December 2011 was reviewed and data about personal details, cause of burn, percentage of burn, treatment given, complication and final outcome were analyzed using descriptive statistics. Results: Fasciotomies were done in 156 patients in 180 limbs. 1 patient had undergone laparotomy for ligation of RT external iliac artery. 58 out of the total 266 electric contact injured patients, represents that nearly 22% had to undergo amputations. Early flap cover after conservative debarment was done in 25 cases patients. Out of these 20 flap covers were done for upper limb defects. Minimal flap necrosis was noticed in 7 patients but the wounds healed without any further surgical intervention. In the 25 flaps done, 19 were distant flaps and 6 were local flaps. CT and MRI angiography was done in 24 patients during our study period. Out of these except for 2 CT angiography for lower limbs, all were for upper limbs. Out of 438 electric injury patients in our study, there was a mortality of 58 patients. 5 were brought dead and 53 patients expired while undergoing treatment in the hospital. This represents nearly 13% mortality rate from electrical related injuries. Conclusion: Electric burn causes significant morbidity and mortality and can be prevented easily. It was emphasized that most of the electrical injuries can be prevented by education, policy implementation and use of safety. Patients survived with morbidity due to amputation. Initial management of electrical burn is imperative to optimize function and minimize long-term scarring. However, further studies are required regarding flap repair and microsurgery to minimize in electrical.

A 3-Year Review of an Outpatient Burn Sedation Program in a Tertiary Burn Care Centre: Is It Safe and Does It Work?

The burn treatment room at our tertiary-care centre is run by a multidisciplinary team, providing care to primarily burn patients who require moderate to deep sedation to undergo dressing changes in a monitored setting outside the operating room. There is little literature on the safety, efficacy, and logistics of treating outpatient pediatric burn patients in this manner. This study reviews the safety of deep sedation in the burn treatment room. A retrospective chart review of patients with burns treated in the burn treatment room from 2013 to 2015 was conducted. Patient demographics, diagnosis, procedure details, sedation, and adverse events were recorded. Data were analyzed descriptively. Sevety-four patients with burns had a total of 308 visits in the burn treatment room for burn bath and/or dressing changes. Scald burns were the most common mechanism of injury (n = 56). Most burns were superficial and mid-dermal (54%), initially estimated at 5% to 10% TBSA (50%). Of the 308 visits, 304 required sedation. Adverse events were recorded in 11 (3.6%) of 304 sedated procedures. None of these events were critical: 7 patients required intravenous conversion due to inadequate oral sedation, 2 experienced brief apnea episodes but recovered spontaneously, and 2 had delayed discharge of more than 2 hours due to residual sedation. The burn treatment room is a safe and effective setting for treating pediatric burn patients, bypassing what might historically require operating suite inpatient management.

To Study the Incidence of Electrical Contact Burns and To Evaluate the Pattern of Injury in a Tertiary Burn Care Centre

To Study the Incidence of Electrical Contact Burns and To Evaluate the Pattern of Injury in a Tertiary Burn Care Centre

New fluid therapy protocol in acute burn from a tertiary burn care centre

BackgroundRinger lactate is the main fluid for resuscitation of acute burns. However it is not a complete fluid alone, as it does not take care of sugar and electrolyte balance adequately. This study has been carried out to compare the use of Ringer lactate (RL) alone and combination of RL with Dextrose Normal Saline (DNS) as fluid replacement therapy in acute burn. ObjectiveTo assess the biochemical parameters with the use of DNS as maintenance fluid in combination with Ringer lactate as resuscitation fluid in acute burns resuscitation. MethodA prospective randomized control study has been carried out by enrolling 200 patients into 2 groups, treated in ICU and resuscitated by using Modification of Brooke’s formula (2mL/kg/% TBSA for resuscitation plus 2500mL maintenance). Group A received RL for resuscitation and DNS as maintenance in 1st 72h of burns. Group B received RL only for 1st 72h. The effects of this on various blood parameters were studied. ResultsMean value of sodium at 24h was 137.79±3.89 in group A and was 133.2±4.57 (p<.0001) in group B. The sodium levels remained in range of 137–138 (p<.0001) in group A with only 22% patients showing lower range of sodium levels, whereas, there was a falling trend (p<.0001) of sodium levels in group B on subsequent days with 54.00% (p<.0001) showing hyponatremia on 1st day which increased to 76% on 3rd day. Mean values of early morning random blood sugar (RBS) levels in group A remained between 165.5±65.51mg/dL–115.82±32.52mg/dL on all 3days but in group B there was a falling trend from 127.49±46.11mg/dL to 102.84±22.92mg/dL by 3rd day. Thus, there was significant difference in levels of sodium and RBS in patients receiving DNS as maintenance fluid in addition to RL in acute phase. ConclusionRL is not an ideal fluid for maintenance as it is low in sodium (130mEq/L) as well as potassium (4mEq/L) in view of daily electrolyte requirement. There is no glucose content in it to provide calories. Therefore, DNS should be added as daily maintenance fluid with RL as replacement for evaporative losses following burns.

Epidemiology and outcomes of burn injuries at a tertiary burn care center in Bangladesh

Globally, burns are among some of the most devastating injuries and account for more than 265,000 deaths worldwide. In Bangladesh alone, nearly 3000 people die annually from burn-related injuries. This study was conducted at the National Institute of Burn and Plastic Surgery in Dhaka, Bangladesh in June of 2016. Data included conducting surveys of hospitalized burn patients (N=66) and a chart review of deceased burn patients (N=88). In addition to reporting on the demographic profile of patients, information was also obtained on clinical measures during hospitalization. For non-fatal burns, high risk groups included young adult males (early 30s) of lower socioeconomic status. Among children, the most vulnerable group was found to be children less than eight years old. The most common non-fatal types of burn injuries were flame (35%), electrical (31%) and scald (24%). Discharged patients had an average hospital stay of around 30days with half of all patients requiring surgical intervention, thus indicating the severity of those cases and the need for resource-intensive care. Among the discharged patient population, factors significantly associated with a longer duration of hospital stay included severity of injury, not having received prior treatment before admission and whether or not patients required surgery during hospitalization.Among the mortality cases, the high-risk groups also included young adult males and children of around eight years of age. The average total body surface area (TBSA) sustained in these cases was 46.4%, with 65% of deaths attributable to complications from flame burns.These findings highlight the frequency and severity of burn injuries, identify vulnerable population groups and list common causes of burns in this large developing country of 160 million people. Furthermore, these findings may be applicable to the epidemiology and outcome of burns in similar low and middle income countries.

Epidemiological study of burn admissions in a tertiary burn care center of Bihar, India

Background: Burn injury remains one of the biggest health concerns in the developing world and is a formidable public health issue in terms of mortality, morbidity, and permanent disability. Aims and objectives: To study the epidemiological aspects of burn admission in a tertiary care burn centre of Bihar. Materials and Methods: This study is a retrospective hospital based observational study, being conducted at Patna Medical College Hospital (PMCH), Patna from 1.1.2018 to 31.12.2018. All burn patients (n = 1431) admitted during this period were included in this study. Results: In our region, burn admissions showed 2 seasonal peaks (April, May) & (Nov, Dec). Females of age 20-39 years were most commonly affected. Accidental injuries were more common than suicidal & homicidal cases. Flame burn leaded the cause followed by electric burn. Most burn victims belonged to rural background & low socio-economic strata. Kitchen was the most common place & kerosene oil most common agent causing burn. Majority of patients presented late to our hospital i.e. after 4 hours. In our scenario, mortality of burn patients with total body surface area (TBSA) > 60% was 95%. Conclusion: Young females of rural background & low socio-economic strata are the commonest victim of burn injuries. Majority of cases are accidental thermal burn. Mortality rate is high in patients with TBSA > 60%. Appropriate preventive & therapeutic measures need to be taken in terms of social education & provision of quality healthcare to reduce the incidence & improve the survival outcome of burn patients.

Skin banking at a regional burns centre—The way forward

In India approximately 1 million people get burnt every year and most of them are from the lower or middle income strata. Therefore it is obligatory to find out an economic way of treatment for the affected populace. Since use of human skin allograft is the gold standard for the treatment of burn wound, in-house skin banking for a burn unit hospital is prerequisite to make the treatment procedure affordable. Although, there was one skin bank at India till 2009, but it was difficult for a single bank to cover the entire country’s need. Looking at the necessities, National Burns Centre (a tertiary burn care centre) along with Rotary International and Euro Skin Bank collaborated and developed an effective cadaveric skin banking model in Mumbai, Maharashtra in 2009. Initial two to three years were formation phase; by the year 2013 the entire system was organized and started running full fledged. The model has also been replicated in other states of India to accommodate the large burn population of the country. This paper therefore, gives a step by step account of how the bank evolved and its present status.

Role of autologous fat grafting in burn wounds

Introduction: The role of autologous fat grafting in burn wound healing was not studied adequately although there are few references in favor of the same. Autologous fat grafting was used in the treatment of burn wounds showing no signs of healing even after 3 weeks of injury. This study was done to study the role of autologous fat grafts in the treatment of burn wounds and to assess outcome in terms of healing or production of granulations suitable for skin grafting. Materials and Methods: The study was conducted in a tertiary burn care center. It was a prospective case–control study. The study was done on 30 cases and 30 controls. Burn wounds of duration >21 days with size Results: Statistically significant differences were noted in the early appearance of healthy granulation tissue, epithelialization from margins, and reduction in size of the wounds, leading to early healing. All patients in the study group developed healthy granulations by day 3, whereas only 6.7% of the control group developed healthy granulations. All the cases among the study group showed epithelisation from margins on day 6, whereas only 3.3% of the controls showed epithelialization from margins. On day 14, 10% of cases in the study group were healed with statistically significant reduction in size of the wounds compared to those on the control group. Discussion: The cases undergoing autologous fat grafting showed significantly improved healing with respect to faster appearance of healthy granulations, epithelialization from margins, and thereby reduction of wound surface area and healing, proving the usefulness of autologous fat grafting in burn wounds. The autologous nature of fat grafts is remarkable considering the solution to the longing problem found inside the body itself.

Efficacy of negative pressure wound therapy in the management of acute burns.

The aim of the present study was to evaluate the outcomes and efficacy of negative pressure wound therapy in the management of acute burns. Patients with acute burns who have received negative pressure wound therapy at the Dr. Lutfi Kırdar Kartal Research and Training Hospital Tertiary Burn Care Center between January 2014 and December 2015 were included in the study. Patient data were retrospectively reviewed by analyzing data from our prospective patient database. A total of 38 patients were evaluated for the study. Three patients were excluded due to mortality prior to the completion of the treatment course. There were 32 (91.6%) male and 3 (8.4%) female patients. The mean age of the patients was 49.5±16 years. The etiological factors included electrical burn injury in 19 (54.3%), chemical burn injury in 7 (20%), flame burn injury in 6 (17.2%), and hot water burns in 3 (8.4%) patients. The severity of the burns was grade 3 or 4 in all of the patients included in the study. The mean duration of negative pressure wound therapy was 10.1±3.9 days. There were no procedure-related complications throughout the duration of the study. During the standard application of the device, one patient experienced local pain; therefore, low pressure (75 mmHg) was applied during therapy, and pressure was steadily increased. As a result of the application of this therapy, a decrease in the surface area, edema, and secretion of the wound and an increase in the granulation tissue and perfusion of the wound were observed in all treated patients. Wound cultures revealed no bacterial growth in any of the patients. The mean duration of surgical wound closure was 11.2±3.7 days. No complication was observed related to wound closure. The mean duration of hospital discharge in the postoperative period was 6.7±2.1 days. Well-designed, randomized control studies showing the efficacy of negative pressure wound therapy in patients with burns are lacking. The results of the present study showed that negative pressure wound therapy may reduce the number of wound debridement sessions, time of wound closure, and hospitalization in major burn injuries exposing the underlying tendons and bones.

Analysis of Referral Pattern in Burns to a Tertiary Burn Care Centre in India

&lt;em&gt;Government Kilpauk Medical College Hospital in Chennai has a tertiary burn care centre with an exclusive new building catering to the needs of burn victims. This burn unit was started by PadmashreeDr.Mathangi Ramakrishnan in the year 1981. All types of burns in all age groups are treated here. Management of a burn patient involves multimodal approach and involves the contribution of various specialists. These patients require multiple stages of medical and surgical managements thus prolonging the duration of hospital stay. Though the treatment to the patient is provided free in the government hospital, the relatives or care takers have to spend money for their food and daily needs. Most patients come from lower socioeconomic background and depend on their daily wages for survival making the problem more complex. Burn survivors are scarred and have some physical disability which persists, creating a sense of depression or loss. Major burn victims have a high mortality even in specialized units. Thus ultimately most of the victims and their care givers are not satisfied in the end&lt;span style="font-size: 8.33333px;"&gt;.&lt;/span&gt;&lt;/em&gt;

Geriatric Burns- A Study- In a Tertiary Burn Care Centre

&lt;div&gt;&lt;p&gt;&lt;em&gt;With increased life span there is an increase in ageing population, who are brought for management of burn injuries to the tertiary burn centre in Government Kilpauk Medical College Hospital in Chennai, Tamilnadu. The special care needed in managing these patients have been analyzed and presented in this study.&lt;/em&gt;&lt;/p&gt;&lt;/div&gt;

Demographic Profile of Electrical Burns in a Tertiary Burn Care Centre

&lt;div&gt;&lt;p&gt;&lt;em&gt; Electrical burn injuries are challenging burns that require multi disciplinary approach. It is a major cause of morbidity among burn victims and requires more number of interventions and hospital stay. Certain unique features that are to be kept in mind while treating electrical burn patients are the differences in fluid requirement, assessment of cardiac involvement, other associated injuries like head spine or bony injuries and renal damage. Aim of treatment of these victims is to prevent infection, to achieve skin cover to allow early mobilization, to optimize function and to minimize long term scarring. Special effective authentic care and proper rehabilitation can make the electrical burn victim a useful productive member of the family/society.&lt;/em&gt;&lt;/p&gt;&lt;/div&gt;

Epidemiology of Cracker (Fire Works) Injuries in a Tertiary Burn Care Centre

&lt;div&gt;&lt;p&gt;&lt;em&gt;Fireworks related burns are one of the causes of recurring incidences of burn injuries every year during festivals. Sporadic events are reported in family and communal celebrations / temple festivals and in funerals. These burns are different from other burns as the burn percentage is not the major burden, but the increasing number of patients with cracker burn injuries with loss of hand function, loss of vision and at times blast injury of the face with major tissue loss and multiple fractures (shattered tissues), which are challenging for the reconstructive surgeon, are major concern. The vulnerable groups are innocent children who sustain injuries due to ignorance, negligence and lack of supervision. These fire cracker burn wounds are to be classified separately as the wounds are more like traumatic wounds than burn wounds. They are also associated with more morbidity than mortality.&lt;sup&gt;(1,2,3)&lt;/sup&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; The management of these wound is multidisciplinary, with involvement of various specialists like paediatricians, ophthalmologists, psychiatrists, orthopaedic surgeons and specialists in rehabilitative medicine along with plastic and reconstructive surgeons.Reconstruction of blast hand and face needs multiple surgeries and prolonged period of physiotherapy and rehabilitation. The effective and appropriate decision made in the acute phase is important to reduce their morbidity.&lt;sup&gt;(4)&lt;/sup&gt;&lt;/em&gt;&lt;/p&gt;&lt;/div&gt;

Scald burn, a preventable injury: Analysis of 4306 patients from a major tertiary care center

BackgroundScalds have distinct epidemiological and predisposing risk factors amongst all types of burns. Though scald affects all age groups, the brunt falls on the minor age groups. It may result in major physical disabilities and significant loss of school years. Apart from the economic burden on family, major scald burn may compromise overall development of the affected children. Most of the scald injuries occur in domestic settings and are preventable. Despite improvement in living conditions, the incidence of scald burn has failed to decline. Our aim was to study the detailed epidemiology and severity of scald burn amongst all age groups. MethodsA retrospective study was carried out from the records of all burn patients who attended a tertiary burn care center from January 2013 and December 2014. Data of the patients with scald injury was segregated and analyzed using Microsoft excel spreadsheet. Result10,175 burn patients attended the burn casualty during the study period, of which 42.3% had sustained scald. 56.85% of patients were under 15 years of age with preschool children (36.4%) being the prime victims of scald. The % TBSA involved is also relatively larger in children. Scald follows definite seasonal variation peaking in winters. 36.8% patients arrived to the hospital without any first aid. 74.2% of patients reported to casualty with in 24hours after sustaining scald injury. The median time interval between injury and reporting to casualty was 3hours 30minutes. ConclusionThis study concludes that the scald is injury of all age groups, though majority of them are children. The first aid is not given to large number of patients and late reporting is quite common. These are the factors which may affect the course of scald burn. Spreading public awareness regarding safe household practises and educating them for proper first aid management after scald may have significant impact on the burden of care and outcome.

Festival Related Burns Managed in a Tertiary Burn Care Centre

Fire is considered sacred and forms an integral part of all festivals that are celebrated in India. Fire related injuries during festivals cause a lot of morbidity, mortality and a sense of grief to the family members. Burns unit of Government Kilpauk Medical College hospital in Chennai is a tertiary burn centre with referrals from all over Tamil Nadu Andhra Pradesh and Karnataka. Festival related Bhogi burns,Fire walk, Deepavalifire work injuries and Karthigaideepam lamprelated burns were analyzed for a period of one year from January 2015 to December 2015. The demographic profile, peculiarities of the distribution of burns and outcome were studied to enhance the awareness ofthe dangers associated with these festival practices and be prepared to deal with the increasing patient load during these festivals.