Historical Development in Trauma and Burn Management inThailand During the Years 1970 to 2010
Abstract
Before the year 1970, the morbidity and mortality rates in the care of trauma and burn patients seemed likely to be high, even after the discovery of better fluid resuscitation methods and better topical and systemic antibiotics. The leading cause of morbidity and mortality was delayed diagnosis and treatment of severely injured patients. Following the experiences of caring for severely injured patients during the Vietnam War, it was realized that early diagnosis and early appropriate management was of utmost importance. After 1970, physicians, especially surgeons, in different regions of the United States of America worked with thoughtful diligence to obtain advanced knowledge and skills through wide-ranging research programs, for the benefit of both trauma and burn patients. Many new surgical procedures were developed and applied to this group of patients. Treatment was begun early and resulted in better outcomes. Most Thai surgeons of that period undertook their postgraduate training in the United Kingdom, or some other European countries such as Germany, and were thus more conservative in their treatment of patients. At the same time a few Thai surgeons were completing their training in the United States, who by contrast seemed to be more radical and aggressive towards treatment1-3.
References
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2. CV of Professor Chomchark Chuntrasakul. Request for details
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Faculty of Medicine, Siriraj Hospital, Mahidol University.
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www.thenation.com/article/uncle-pentagon-growingshadow-
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Medical Bulletin 1992; 21: 22-36.
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trauma. Almost every topic on burns & trauma planning
and management can be found within. St. Louis: CV Mosby
Co; 1984. p. 3-692.
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“Fluid resuscitation and early management”, and Hildreth
M, Gottschlich M, “Nutritional support of the burned patient”.
Philadelphia: WB Saunders Co; 1996. p. 44-52.
7. Manafo WM, Chuntrasakul C, Ayvazian VH. Hypertonic
sodium solution in the treatment of burn shock. Am J Surg
1973;126:778-83.
8. Chuntrasakul C. Human amnion in burn treatment. Siriraj
Hosp Gaz 1974;26:599-607.
9. Chuntrasakul C. Hypertonic saline in the treatment of burns.
Siriraj Hosp Gaz 1975;27:1985-93.
10. Chuntrasakul C. Clinical experiences with the use of amniotic
membranes as temporary dressings in the treatment of
burns and other opened surgical wounds. J Med Assoc Thai
1977;60:66-77.
11. Chuntrasakul C. Thermal Injury. In: Prem Buri, ed. Injury.
Bangkok: Bangkok Medical Publisher; 1977. p. 137-53.
12. Chuntrasakul C. Total Scalp avulsion injury. Siriraj Hosp Gaz
1977;11: 1569-81.
13. Chuntrasakul C. Colonic injury. In: Kasean Pungkanon, ed.
Abdominal Injury. Bangkok: Amarin Printing; 1979. p. 169-78.
14. Chuntrasakul C, Karnpleamchit P. A new topical agent
used in the management of severe wound infection
(abstract). Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1979;72.
15. Chuntrasakul C, Sakolsattayatorn P. Liver injury. In: Sintavanon
K, Chaipanich T, eds. Advances in surgery. Bangkok:
Bangkok Medical Publisher;1980. p. 258-76.
16. Sakolsattayatorn P, Chuntrasakul C. Duodenal and
pancreatic injury. In: Sintavanon K, Chaipanich T, eds.
Advances in surgery. Bangkok: Bangkok Medical Publisher;
1980. p. 277-300.
17. Chuntrasakul C. Burn shock and resuscitation. In: Guidelines
of practice for the general practitioner. Bangkok: Faculty of
Medicine at Siriraj Hospital; 181-90.
18. Chuntrasakul C. Acute vascular injury in the extremities. Thai
J Trauma 1982;6:15-22.
19. Chuntrasakul C. Management in multiple injury patients.
Thai J Trauma 1982;3:19-30.
20. Chuntrasakul C. Common problems in ICU trauma. In:
Pritchanon B, Maranet N, eds. Common problems in critical
care. Bangkok: Roenboon printing, 1982;136-42.
21. Chuntrasakul C. Nutrition support in severe burn patients.
Siriraj Hosp Gaz 1982;4:205-11.
22. Chuntrasakul C. Total parenteral nutrition. In: Parakornkul S,
et al, eds. Practice in trauma surgery. Bangkok: Greenhum
press; 1982. p. 276-92.
23. Chuntrasakul C. Multiple injuries. In: Parakornkul S, et al, eds.
Practice in trauma surgery. Bangkok: Greenhum press, 1982:
261-75.
24. Chuntrasakul C. Care of severe burn patients. Siriraj Hosp
Gaz 1983;9:839-43.
25. Chuntrasakul C. Wound management in extensive burns:
trends from a 10-year experiences at Siriraj Burn Unit. Annual
scientific meeting of Royal College of Surgeons of Thailand,
July 1983;107.
26. Chuntrasakul C. Necrotizing fasciitis of the extremities in
traumatic patients. Annual scientific meeting of Royal
College of Surgeons of Thailand (regional section), Feb
1985;33-4.
27. Chuntrasakul C. Silver zinc sulfadiazine in the treatment of
extremity wounds. Siriraj Hosp Gaz 1985;2:99-103.
28. Chuntrasakul C, Wattanapa P. Control of massive
hemorrhage from liver injury by Esmarch compression
(abstract). Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1987: 69.
29. Chuntrasakul C. TPN: principles and clinical use. Thai J
Trauma 1988;6:13-37.
30. Chuntrasakul C. Burn Unit experience at Siriraj Hospital
(abstract). The 5th Asean Pediatrics Federation Conference,
Kuala Lumpur, July 27-30 1990.
31. Chuntrasakul C. Diagnosis and treatment of burn shock. In:
Jitmittapap S, Chuntrasakul C, Sakolsattayatorn P,
Siritongtavorn P, eds. Current advanced trauma
management. Bangkok: Chulalongkorn University Printing
Department; 1990.
32. Chuntrasakul C. Advanced enteral feeding in clinical practice.
Annual scientific meeting of Faculty of Medicine
at Siriraj Hospital 1990;306-13.
33. Chuntrasakul C. Pitfalls and guidelines in acute management
of burns (the first 48 hours). In: Chartbunchachai W, et al.,
eds. Integrated regional trauma service. Khonkaen:
Khonkaen Printing; 199. p. 63-9.
34. Chuntrasakul C. Early enteral feeding: its safety and
effectiveness. Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1993; 111.
35. Chuntrasakul C, Siltharm S, Pongprasopchai T, Chockvivatanavanit
S, Bunnak A. Early nutritional support in severe
traumatic patients: a prospective randomized study. J Med
Assoc Thai 1996;29:21-6.
36. Chuntrasakul C. Early enteral nutrition in severely burned
patients. The 3rd congress of PENSA: Nutrition and metabolic
support in clinical practice, Bangkok, October 29-31,1997;
34.
37. Chuntrasakul C. Surgical management of burn wounds. In:
Chuntrasakul C, Chaiyapruk S, Dejamorntan A., eds. General
care for burn patients. Bangkok: 1997. p. 70-3.
38. Chuntrasakul C. Nutrition support in developing countries:
How to manage it? The 12th Asian-Pacific Federation
Congress, International College of Surgeons, Taipei,
December 12-14, 1997;45.
39. Chuntrasakul C, Siltharm S, Sarasombath S, Sehapairochana
C, Leowattana W, Chockvivatanavanit S, Bunnak A.
Metabolic and immune effects of dietary arginine, glutamine
and omega-3 fatty acids supplement in immunocompromised
patients. J Med Assoc Thai 1998;81:334-43.
40. Chuntrasakul C. Nutrition support service in Thailand. The 5th
Congress of Parenteral and Enteral Nutrition Society of Asia,
Kuala Lumpur, 28-30 Oct 1999;58.
41. Chuntrasakul C. Nutrition support service in Asia in the 21st
century. The 6th Congress of Parenteral and Enteral Nutrition
Society of Asia, Taipei, Nov 9-12, 2000; 74.
42. Chuntrasakul C., Siltham S, Sarasombath S, et al: Comparison
of a immunonutrition formula enriched arginine, glutamine
and Omega-3 fatty acid with a currently high-enriched
enteral nutrition for trauma patients. J Med Assoc Thai 2003;
86:552-61.
43. Chuntrasakul C. Nanocrystalline silver, or Acticoat
experience in burn wound management. In: Chaiyaprunk
S, et al., eds. Clinical practice in burns. 2003. p. 172-9.
44. Chuntrasakul C: Wound management in developing
countries, past, present and future: perspectives from
Thailand. 2nd WUWHS, Paris, 2004, in program overview; 27.
45. Chuntrasakul C. Nutrition support in immunocompromised
patients and enteral nutrition in severely burned patients. In:
Tienboon P, Chuntrasakul C, Yamwong P, Stiltharm S,
Chockvivatanavanit S, eds. Nutrition and metabolic support
in clinical practice. Bangkok: Roenkaew printing;1998. p.
115-21.
46. Kamolthram T, Chuntrasakul C, Kongsamran S, Vibooncharoen
S. “Siriraj vasaline gauze” for wound dressing. Siriraj
Hosp Gaz 1983;10:887-94.
47. Chuntrasakul C. 20 years of changes of the Society to
Association of Parenteral and Enteral Nutrition of Thailand
(SPENT). Thai J Parenter Enteral Nutr 2008;19;53-5.
48. Chuntrasakul C. How to get started a PENSA? Proceedings
of the 10th PENSA Congress, Pattaya, October 27, 2004. p.
29.
49. Chuntrasakul C. Common problems in abdominal trauma.
Manual of Public Health Ministry in conjunction with Regional
Provincial Hospital Physicians. Conference; 1982.
50. Chuntrasakul C, Boonnak AR, Vibulyanont S, Chokvivatanavanij
S, Vejjasus T, et al. Special formula Blenderized
Diet (BD) for burn patients. Monograph at a Medical
Conference, February 2, 1991.
eds. American College of Surgeons’ Care of the surgical
patient. Volume 1. Critical Care. New York: Scientific
American, 1989.
2. CV of Professor Chomchark Chuntrasakul. Request for details
at the Division of Traumatology, Department of Surgery,
Faculty of Medicine, Siriraj Hospital, Mahidol University.
3. Berrigan F. Uncle Pentagon: growing up in the shadow of
the American war-state. The Nation, 10th March 2015.
www.thenation.com/article/uncle-pentagon-growingshadow-
american-war-state/
4. Great man of the century (มหาบุรุษแห่งศตวรรษ). The Thai
Medical Bulletin 1992; 21: 22-36.
5. Moore EE, Eiseman B, Van Way CW, eds. Critical decision in
trauma. Almost every topic on burns & trauma planning
and management can be found within. St. Louis: CV Mosby
Co; 1984. p. 3-692.
6. Kramer GC. Pathophysiology of burn shock and burn edema.
In: Herndon DN, ed. Total burn care. See also: Warden GD,
“Fluid resuscitation and early management”, and Hildreth
M, Gottschlich M, “Nutritional support of the burned patient”.
Philadelphia: WB Saunders Co; 1996. p. 44-52.
7. Manafo WM, Chuntrasakul C, Ayvazian VH. Hypertonic
sodium solution in the treatment of burn shock. Am J Surg
1973;126:778-83.
8. Chuntrasakul C. Human amnion in burn treatment. Siriraj
Hosp Gaz 1974;26:599-607.
9. Chuntrasakul C. Hypertonic saline in the treatment of burns.
Siriraj Hosp Gaz 1975;27:1985-93.
10. Chuntrasakul C. Clinical experiences with the use of amniotic
membranes as temporary dressings in the treatment of
burns and other opened surgical wounds. J Med Assoc Thai
1977;60:66-77.
11. Chuntrasakul C. Thermal Injury. In: Prem Buri, ed. Injury.
Bangkok: Bangkok Medical Publisher; 1977. p. 137-53.
12. Chuntrasakul C. Total Scalp avulsion injury. Siriraj Hosp Gaz
1977;11: 1569-81.
13. Chuntrasakul C. Colonic injury. In: Kasean Pungkanon, ed.
Abdominal Injury. Bangkok: Amarin Printing; 1979. p. 169-78.
14. Chuntrasakul C, Karnpleamchit P. A new topical agent
used in the management of severe wound infection
(abstract). Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1979;72.
15. Chuntrasakul C, Sakolsattayatorn P. Liver injury. In: Sintavanon
K, Chaipanich T, eds. Advances in surgery. Bangkok:
Bangkok Medical Publisher;1980. p. 258-76.
16. Sakolsattayatorn P, Chuntrasakul C. Duodenal and
pancreatic injury. In: Sintavanon K, Chaipanich T, eds.
Advances in surgery. Bangkok: Bangkok Medical Publisher;
1980. p. 277-300.
17. Chuntrasakul C. Burn shock and resuscitation. In: Guidelines
of practice for the general practitioner. Bangkok: Faculty of
Medicine at Siriraj Hospital; 181-90.
18. Chuntrasakul C. Acute vascular injury in the extremities. Thai
J Trauma 1982;6:15-22.
19. Chuntrasakul C. Management in multiple injury patients.
Thai J Trauma 1982;3:19-30.
20. Chuntrasakul C. Common problems in ICU trauma. In:
Pritchanon B, Maranet N, eds. Common problems in critical
care. Bangkok: Roenboon printing, 1982;136-42.
21. Chuntrasakul C. Nutrition support in severe burn patients.
Siriraj Hosp Gaz 1982;4:205-11.
22. Chuntrasakul C. Total parenteral nutrition. In: Parakornkul S,
et al, eds. Practice in trauma surgery. Bangkok: Greenhum
press; 1982. p. 276-92.
23. Chuntrasakul C. Multiple injuries. In: Parakornkul S, et al, eds.
Practice in trauma surgery. Bangkok: Greenhum press, 1982:
261-75.
24. Chuntrasakul C. Care of severe burn patients. Siriraj Hosp
Gaz 1983;9:839-43.
25. Chuntrasakul C. Wound management in extensive burns:
trends from a 10-year experiences at Siriraj Burn Unit. Annual
scientific meeting of Royal College of Surgeons of Thailand,
July 1983;107.
26. Chuntrasakul C. Necrotizing fasciitis of the extremities in
traumatic patients. Annual scientific meeting of Royal
College of Surgeons of Thailand (regional section), Feb
1985;33-4.
27. Chuntrasakul C. Silver zinc sulfadiazine in the treatment of
extremity wounds. Siriraj Hosp Gaz 1985;2:99-103.
28. Chuntrasakul C, Wattanapa P. Control of massive
hemorrhage from liver injury by Esmarch compression
(abstract). Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1987: 69.
29. Chuntrasakul C. TPN: principles and clinical use. Thai J
Trauma 1988;6:13-37.
30. Chuntrasakul C. Burn Unit experience at Siriraj Hospital
(abstract). The 5th Asean Pediatrics Federation Conference,
Kuala Lumpur, July 27-30 1990.
31. Chuntrasakul C. Diagnosis and treatment of burn shock. In:
Jitmittapap S, Chuntrasakul C, Sakolsattayatorn P,
Siritongtavorn P, eds. Current advanced trauma
management. Bangkok: Chulalongkorn University Printing
Department; 1990.
32. Chuntrasakul C. Advanced enteral feeding in clinical practice.
Annual scientific meeting of Faculty of Medicine
at Siriraj Hospital 1990;306-13.
33. Chuntrasakul C. Pitfalls and guidelines in acute management
of burns (the first 48 hours). In: Chartbunchachai W, et al.,
eds. Integrated regional trauma service. Khonkaen:
Khonkaen Printing; 199. p. 63-9.
34. Chuntrasakul C. Early enteral feeding: its safety and
effectiveness. Annual scientific meeting of Royal College of
Surgeons of Thailand, July 1993; 111.
35. Chuntrasakul C, Siltharm S, Pongprasopchai T, Chockvivatanavanit
S, Bunnak A. Early nutritional support in severe
traumatic patients: a prospective randomized study. J Med
Assoc Thai 1996;29:21-6.
36. Chuntrasakul C. Early enteral nutrition in severely burned
patients. The 3rd congress of PENSA: Nutrition and metabolic
support in clinical practice, Bangkok, October 29-31,1997;
34.
37. Chuntrasakul C. Surgical management of burn wounds. In:
Chuntrasakul C, Chaiyapruk S, Dejamorntan A., eds. General
care for burn patients. Bangkok: 1997. p. 70-3.
38. Chuntrasakul C. Nutrition support in developing countries:
How to manage it? The 12th Asian-Pacific Federation
Congress, International College of Surgeons, Taipei,
December 12-14, 1997;45.
39. Chuntrasakul C, Siltharm S, Sarasombath S, Sehapairochana
C, Leowattana W, Chockvivatanavanit S, Bunnak A.
Metabolic and immune effects of dietary arginine, glutamine
and omega-3 fatty acids supplement in immunocompromised
patients. J Med Assoc Thai 1998;81:334-43.
40. Chuntrasakul C. Nutrition support service in Thailand. The 5th
Congress of Parenteral and Enteral Nutrition Society of Asia,
Kuala Lumpur, 28-30 Oct 1999;58.
41. Chuntrasakul C. Nutrition support service in Asia in the 21st
century. The 6th Congress of Parenteral and Enteral Nutrition
Society of Asia, Taipei, Nov 9-12, 2000; 74.
42. Chuntrasakul C., Siltham S, Sarasombath S, et al: Comparison
of a immunonutrition formula enriched arginine, glutamine
and Omega-3 fatty acid with a currently high-enriched
enteral nutrition for trauma patients. J Med Assoc Thai 2003;
86:552-61.
43. Chuntrasakul C. Nanocrystalline silver, or Acticoat
experience in burn wound management. In: Chaiyaprunk
S, et al., eds. Clinical practice in burns. 2003. p. 172-9.
44. Chuntrasakul C: Wound management in developing
countries, past, present and future: perspectives from
Thailand. 2nd WUWHS, Paris, 2004, in program overview; 27.
45. Chuntrasakul C. Nutrition support in immunocompromised
patients and enteral nutrition in severely burned patients. In:
Tienboon P, Chuntrasakul C, Yamwong P, Stiltharm S,
Chockvivatanavanit S, eds. Nutrition and metabolic support
in clinical practice. Bangkok: Roenkaew printing;1998. p.
115-21.
46. Kamolthram T, Chuntrasakul C, Kongsamran S, Vibooncharoen
S. “Siriraj vasaline gauze” for wound dressing. Siriraj
Hosp Gaz 1983;10:887-94.
47. Chuntrasakul C. 20 years of changes of the Society to
Association of Parenteral and Enteral Nutrition of Thailand
(SPENT). Thai J Parenter Enteral Nutr 2008;19;53-5.
48. Chuntrasakul C. How to get started a PENSA? Proceedings
of the 10th PENSA Congress, Pattaya, October 27, 2004. p.
29.
49. Chuntrasakul C. Common problems in abdominal trauma.
Manual of Public Health Ministry in conjunction with Regional
Provincial Hospital Physicians. Conference; 1982.
50. Chuntrasakul C, Boonnak AR, Vibulyanont S, Chokvivatanavanij
S, Vejjasus T, et al. Special formula Blenderized
Diet (BD) for burn patients. Monograph at a Medical
Conference, February 2, 1991.
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2019-11-20
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Chuntrasaku PEC. Historical Development in Trauma and Burn Management inThailand During the Years 1970 to 2010. Thai J Surg [Internet]. 2019 Nov. 20 [cited 2024 Nov. 22];36(3). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226071
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