Referrals

Our Referral Process

We pride our centers on the ease of access for patient referring facilities, agencies and physicians. By calling (855) 863-9595 or (706) 830-7511, you reach one of our physicians or mid-level practitioners who will assist in determining the urgency of the patient’s injury. We will also assist with patient transfer to one of our burn centers. For those requiring less immediate treatment, an appointment at one of our outpatient facilities will be scheduled.

Burn Transfer Form
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ACUTE BURN CARE
Breast Reconstruction
Frostbite
Hand & Extremity Injuries
Hyperbaric Oxygen Therapy
Outpatient Clinic
Reconstructive Surgery
Scar Revision
Skin & Soft Tissue Disorders
ACUTE BURN CARE
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The premise and promise of the burn center has been to never turn away a patient in need of specialized burn care. BRCA/JMS is unique in many ways, including treating both children and adults to the comprehensive circle of care offered by our medical professionals.

At BRCA/JMS, the treatment of patients goes beyond their physical burns and wounds. From the expertise of critical care and pediatric intensivists to the consultation of staff psychiatrists, we truly treat the entire patient. We understand that even a small burn can be catastrophic to entire families, and we work hard to lessen the lasting impact of such injuries.

The acute care is often followed by reconstruction as burn scars can be restricting and interfere with a patients lifestyle. This is often a long process requiring years of reconstructive procedures. Therefore, we have a great opportunity to know our patients and connect with them on a level unlike many other specialties.

Many burn centers focus on the acute injury and once the patient is healed refer them to other surgeons to perform their reconstruction. It has been our experience that having the intimate knowledge of what the patient went through in the initial stages helps us to optimize their reconstructive efforts.

TREATING BURNS AT HOME

Most burns occur at home or work, and the proper response is important both to helping the patient and ensuring proper treatment of the injury.

First, stop the burning process by removing the source of the burn. However, do not endanger yourself. For example, do not try to grab a live electrical wire.

The next step is to remove any jewelry or clothing around the burned area. This will help prevent further damage if swelling occurs. If clothing is stuck to the burn site, do not peel it off. Instead, contact emergency services immediately.

For initial treatment of minor burns, run cool tap water over the burn for at least 20 minutes. For more severe burns, seek medical treatment immediately.

DO NOT
Do not apply butter, grease, honey or powder
Do not use cotton balls or wool to clean a burn
Do not apply ice directly to the burn

DO
Cover the burn with a dry, sterile cloth
Use ibuprofen for pain management

IDENTIFYING SEVERITY OF BURNS

First Degree
Red and painful with no blistering of skin, such as a minor sunburn

Second Degree
Red and painful with blistering – sometimes significantly blistering – of skin. Injuries will maintain a wet appearance.

Third Degree
Injuries have charred appearance, and will be dry to touch. They will have a leathery or white appearance, and be insensate. Treatment of injury will require skin grafting.

Fourth Degree
Injuries will be catastrophic, involve muscle, tendon and bone, and most often require amputation as treatment.

Transfer criteria recommended by the American Burn Association:

  • Partial thickness burn greater than or equal to 10% TBSA
  • Any burn involving the face, hands, feet, genitalia or major joint
  • Any third degree burn
  • Chemical burn injury
  • Electrical burn injury
  • Inhalation injury
  • Burn injury in patients with pre-existing medical disorders
  • Burns involving concomitant trauma in which the burn injury poses the greater risk
  • Burned children in hospitals without qualified personnel or equipment for the care of children
  • Burn injury in patients who will require special social, emotional, or long-term rehab

View Education Page

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Breast Reconstruction
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Breast plastic surgeries are minimally invasive procedures that restore and improve the size, shape and position of the breasts.  Options for these surgeries include reconstruction, augmentation (enlargement), reduction and lift.  Breast plastic surgeries are tremendously beneficial to women who have lost their breast(s) from mastectomy or lumpectomy and would like to have breast reconstruction to restore natural-looking shape, appearance and size, or lost breast volume due to pregnancy or nursing.  Patients may also want breasts that are in proportion with their body size, or desire a fuller profile.  At BRCA/JMS, our highly-trained and experienced plastic surgery team will discuss your priorities to help you choose the right procedure and achieve your goals.

Is It Cosmetic Surgery?

  • In most cases, breast restoration is treatment of a disease and considered a reconstructive surgery, not a cosmetic procedure.

When’s the Best Time to Have Breast Reconstruction?

  • Our team will work with you to identify the appropriate time for your procedure, accounting for your medical condition, procedural approaches, anatomy and personal desire.  Our goal is to create a personalized plan with you to achieve your goals with optimal outcomes in a safe manner.  Patients who have begun chemotherapy or radiation will need to wait until they have completed that treatment.

Breast Reconstruction Approaches

  • Implants – Implants are made out of silicone, saline or a combination of both.  They are placed beneath the chest muscle.  This differs from breast augmentation where implants are placed on top of the chest muscle.
  • Flaps – During this reconstructive procedure, a breast is created with tissue taken from other parts of the body, such as the thighs, abdominal or gluteal regions.  The tissue is then transplanted to the chest, where surgeons can reconnect blood vessels.

Planning for Breast Reconstruction

Women who will have a mastectomy, or may lose a breast from a lumpectomy, have options for surgery:

  • Immediate Breast Reconstruction – Women who are not undergoing chemotherapy or radiation treatment may choose to have reconstruction done in conjunction with their mastectomy or other surgical intervention.
  • Delayed Breast Reconstruction – We recommend that women undergoing chemotherapy or radiation treatment delay their breast reconstruction.  If breast reconstruction is not delayed, a reconstructed breast may lose its appearance, change in shape or texture, become painful and could potentially put a person at-risk. A tissue expander will be inserted after the mastectomy to keep the breast skin that was saved during the procedure in preparation for the final reconstruction, which will be scheduled several months after radiation treatment is complete.
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Frostbite
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The specialty of burn care is not relegated to chemical, electrical, flame and scald injuries. At BRCC, our team of board-certified surgeons and plastic/reconstruction specialists are also trained in the most advanced treatment and management of cold injuries including thrombolytic therapy.

  • Cold injuries can result in temporary or permanent tissue damage caused by prolonged exposure to temperatures less than 23°F.  Injuries can range from frostnip to more complex injuries including significant local tissue loss and/or limb amputations. The classification of frostbite injuries is similar to burn injuries:
    • First Degree: Superficial without blister formation; Frostnip
    • Second Degree:  Light colored blisters with subsequent peeling
    • Third Degree:  Dark blisters that evolve into thick, black eschar
    • Fourth Degree: Involves bone, tendon and/or muscle
  • A better understanding of the pathophysiology of the disease process has led to recent advancements in the treatment of frostbite.  No longer considered to be a condition of simple tissue freezing, cold injuries are now recognized to be a more complex ailment associated with local tissue injury and vascular occlusion.   Today, treatments are designed to rewarm the affected tissues rapidly, while improving blood flow to the injured area with thrombolytics.  Tissue plasminogen activator, commonly known as tPA and given to stroke victims, is a proven, effective treatment for frostbite injuries resulting in significantly lower amputation rates.  Patients presenting with frostbite should be viewed as a vascular emergency and immediately be referred to a burn specialist who is trained in the use of tPA.  Rapid diagnosis and treatment of cold injuries can significantly reduce the morbidity associated with this injury.
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Hand & Extremity Injuries
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Burns and wounds are not the only injuries healed at BRCA/JMS. Our team of plastic and reconstruction specialists offers cosmetic, emergency and elective surgeries, including breast enhancement or reconstruction, hand and extremity operations as well as other procedures.

Hand and upper extremity injuries account for one-third of all emergency room injuries and are the most common disabling work injuries.  Meanwhile, burning and crushing injuries to the hand are one of the likeliest injuries for children under the age of six.

In recent years, BRCA/JMS has assembled a team of hand specialists who can treat cases ranging from traumatic de-gloving injuries to simple sprains. They are available 24 hours a day, seven days a week for emergency cases or consultations. With 29 major and minor bones, 29 joints, 123 ligaments, 48 nerves and 35 muscles, the hand and lower arm are complex areas that requires a skilled assessment and treatment plan.

If you are experiencing pain in your upper-extremities, including wrist, hand, and fingers, contact our office to schedule an appointment today. They can offer a wealth of treatments beyond surgery, including medication, topical treatment, injections, or monitored therapy.

View Hand Injuries PDF

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Hyperbaric Oxygen Therapy
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Hyperbaric Oxygen Therapy (“HBO Therapy”) provides a patient the ability to breathe 100% oxygen at pressures greater than normal atmospheric (sea level) pressure.  This allows more oxygen to pass throughout your body to promote healing, fight infection and kill bacteria.  HBO Therapy can assist patients who have carbon monoxide poisoning, challenges associated with wound healing, necrotizing soft tissue, or skin grafts/flaps.  You may need more than one HBO Therapy treatment to help your recovery.  HBO Therapy does not require a hospital stay, except for patients who are already in the hospital and will be brought back to their hospital room.  Patients using HBO Therapy will go through three phases of care:

Compression

During this phase, the patient experiences increased pressure in their ears.  Before the treatment, patients are taught how to clear their ears. The HBO Therapy technician helps the patient release the pressure in their ears during the treatment.

Treatment

HBO Therapy feels warm during the compression phase due to pressurization. Once the prescribed pressure is reached, the temperature in the chamber cools. During this time the patient may choose to watch TV, listen to music, or sleep. The treatment lasts approximately 90-120 minutes.

Decompression

The decompression phase begins at the end of treatment. As the pressure is decreased, a “pop” or “crackling” sound occurs as the patient’s ears readjust to normal pressure.

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Outpatient Clinic
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We provide coordinated care with a team of skilled and experienced professionals that includes surgeons, certified wound specialists, nurses, physical & occupational therapists, nutrition counselors and social services coordinators.

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Reconstructive Surgery
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One of the most important steps in the healing of a catastrophically burned patient is the process of reconstruction, especially of extensively burned areas. Due to scar formation from deep second or third degree burns, patients will likely need reconstruction to improve restrictive and hypertrophic burn scars. These burn scars to the face, neck, hands and other regions of the body can restrict motion, such as chewing, drinking and hand or neck or leg movements.

Our team of board-certified plastic and reconstructive surgeons at BRCA/JMS, is continuing to develop different avenues to best treat our patients, those with congenital and acquired skin anomalies, wounds and people interested in generally improving their appearance and/or self-esteem. Through our experience of working with thousands of patients, we have developed the skills necessary to create a thorough treatment plan to improve the aesthetics, form and function of our burn patients. We are not only involved in the reconstruction process, but also in the in the acute phase of patient care. This helps plan procedures for future reconstruction, enhance rehabilitation and overall improve patients’ form, function, aesthetic outcome and, ultimately, their quality of life.

Our plastic and reconstructive surgeons use their knowledge and experience of dermal substitutes, skin grafting, tissue expansion, laser therapy, flap reconstruction and microsurgery to help rehabilitate burned victims.

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Scar Revision
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As part of our long-term care and reconstructive services, we offer laser scar revision treatments. Our surgeons tailor treatment plans based on the type and appearance of the scar and level of a patient’s injury.  Laser scar revisions can assist with loosening of scars to improve range of motion, decrease itching and pain from scars and offer an improved appearance of the scarred area.

Patients often see results from the laser therapy within days of the initial treatment and usually feel minimal side-effects or discomfort.  Improvements may continue with additional treatments, providing short and long term benefits for our patients.  Laser technology is a preferred treatment choice for both hypertrophic and atrophic scars.

Hypertrophic scars have texture and are raised because of over excessive collagen formation.  The most common side effect of treatment is red or purple discoloration on the skin, which may be seen for several days.  Swelling of the treated area may occur, but usually decreases within a few days.  After treatment, your skin is sensitive and it’s very important to limit your exposure to the sun to avoid damaging the treated area.

Atrophic scars are depressions in your skin caused by inflammatory skin conditions, such as chicken pox or cystic acne.  The goal of the treatment is to reduce the scar’s depressions and promote the production of new collagen to help fill in the depressions.  The most common side effects of treatment include redness, swelling and drainage.  After treatment, your skin is sensitive and it’s very important to limit your exposure to the sun to avoid damaging the treated area.

Please speak with our team if you are not sure what type of scar you have or if you want to learn if laser scar revision treatments can help with your scar

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Skin & Soft Tissue Disorders
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Burn and reconstructive surgery is not the only service provided by our surgeons at BRCA/JMS. Our team of board-certified surgeons and plastic/reconstruction specialists are trained in the treatment and management of skin and soft tissue disorders, ranging from:

  1. Degenerative skin disorders: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis (TEN)
  2. Infectious processes: Cellulitis and Necrotizing Fasciitis
  3. Complex wounds associated with chronic diseases: Diabetic Foot Ulcers and Calciphylaxis
  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are degenerative skin disorders differentiated by percentage of involved body surface area.  While there is some overlap in categorization of SJS and TEN, TEN is characterized with involvement greater than 30% of total body surface area.  Patients often present with a patchy reddening or detachment of the top layer of skin following exposure to a “trigger,” most commonly a medication.  The disease process affects all epithelial tissues of the body and is associated with a significant inflammatory response.   The combination of epithelial loss and severe inflammation leaves the patient susceptible to infections and multi-organ system failure.  The care and treatment for these individuals is similar to those with a thermal injury.  It is for this reason why the medical community favors treatment of these individuals at a multi-disciplinary burn center to limit morbidity and mortality.
  • Necrotizing fasciitis (NF) is a bacterial infection of the skin, commonly occurring when bacteria pass into the body through an open cut, scrape, burn wound or other puncture wound. Patients with NF may complain of swelling and muscle soreness at the site of the infectious process.  The skin is generally warm to the touch and red or purple in color.  As the disease progresses, it may be accompanied by blisters, ulcers or blackening of the skin.  NF is a medical emergency and should be treated in an urgent manner as the bacteria quickly spreads through connective tissue, and can lead to amputations or death within a narrow window of time.  Aggressive surgical debridement, coupled with systemic antimicrobials and hyperbaric oxygen, is often required to prevent the infection from continuing to spread and potentially result in significant morbidity and mortality.
  • Diabetic ulcers occur in approximately 15% of diabetic patients.  If treated properly, patients can avoid amputation, which affects about 1 in 5 patients who develop an ulcer.  Patients who develop ulcers should seek immediate attention from a specialist.
  • Cellulitis is a bacterial skin infection that can spread rapidly if not treated immediately.  Cellulitis can result in necrotizing fasciitis or sepsis, potentially life threatening conditions.  Patients often present with painful, swollen areas of red skin that are warm to the touch.  Although it’s most commonly seen on the skin of the lower legs, it can occur anywhere throughout the body.  Untreated or mistreated cellulitis can extend through the soft tissues into the lymph nodes and bloodstream, resulting in life threating conditions.  Cellulitis should be treated aggressively with antimicrobials while excluding the diagnosis of necrotizing fasciitis and sepsis.  Significant cellulitis can result in morbidity and mortality and thus should be treated by infectious experts at a medical facility or burn center.
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DAVID ADCOCK, MD
JMS | JACKSON, MS
CLAUS BRANDIGI, MD, FACS
MEDICAL DIRECTOR - JMS | ATLANTA, GA
RICH CARTIE, MD
PEDIATRICS - JMS | AUGUSTA, GA
JAMES COLLINS, MD
JMS | AUGUSTA, GA
JUAN COLÓN-SANTINI, MD, FAAP
PEDIATRICS - JMS | AUGUSTA, GA
DEREK CULNAN, MD
JMS | JACKSON, MS
SHAWN FAGAN, MD, FACS
CHIEF MEDICAL OFFICER - BRCA | AUGUSTA, GA
PHILIP FIDLER, MD, FACS
JMS | AUGUSTA, GA
ZAHEED HASSAN, MD
VICE PRESIDENT - BRCA | AUGUSTA, GA
BOUNTHAVY HOMSOMBATH, MD
JMS | AUGUSTA, GA
ANDREW KASTELLO, MD, FACS
JMS | AUGUSTA, GA
WILLIAM LINEAWEAVER, MD, FACS
MEDICAL DIRECTOR - JMS | JACKSON, MS
Chief Research Officer - BRCA
FRED MULLINS, MD, FACS
PRESIDENT - BRCA | AUGUSTA, GA
HERMANN ORLET, MD, FACS
JMS | AUGUSTA, GA
RAUL PONTE, MD
PEDIATRICS - JMS | AUGUSTA, GA
ERIN SWITZER, DO
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 | ATLANTA, 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
PEDIATRICS - 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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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 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 – SHRINERS HOSPITAL FOR CHILDREN, GALVESTON, TX, 2015-2016
  • PLASTIC SURGERY, INDIANA UNIVERSITY, INDIANAPOLIS, IN, 2012-2015
  • RESEARCH – TRAUMA/CRITICAL CARE, PENN STATE UNIVERSITY – HERSHEY MEDICAL CENTER, HERSHEY, PA 2007-2009

BOARD CERTIFICATION

  • AMERICAN BOARD OF SURGERY
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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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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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ANDREW KASTELLO, MD, FACS
JMS | AUGUSTA, GA

DEGREE

  • M.D., St. George’s University School of Medicine, Grenada, West Indies, 2001-2005
  • B.S., Psychology, St. Mary’s College, St. Mary’s City, Maryland, 1987-1991

RESIDENCY

  • General Surgery – Chief Resident, St. Joseph Mercy-Oakland Medical Center, Wayne State University, Pontiac, MI, 2009-2010
  • General Surgery, St. Joseph Mercy-Oakland Medical Center, Wayne State University, Pontiac, MI, 2005-2009

CLINICAL INTERESTS

  • Diabetic Ulcers/Wounds
  • Hyperbaric Oxygen Therapy
  • Ischemic Ulcers
  • Pressure Ulcers/Wounds
  • Venous Stasis Ulcers
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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
  • DAVIDSON COLLEGE, DAVIDSON, NC, 1968-1971

RESIDENCY

  • PLASTIC SURGERY, UNIVERSITY OF CALIFORNIA SAN FRANCISCO, SAN FRANCISCO, CA. 1984-1996
  • 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
PRESIDENT - BRCA | AUGUSTA, GA

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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ERIN SWITZER, DO
JMS | AUGUSTA, GA

DEGREE

  • D.O., KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE, KIRKSVILLE, MO, 1997-2001
  • B.S., ZOOLOGY, ARIZONA STATE UNIVERSITY, TEMPE, AZ, 1994-1997

RESIDENCY

  • GENERAL SURGERY, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA, 2002-2006

FELLOWSHIP

  • TRAUMA, GEORGIA REGENTS UNIVERSITY, AUGUSTA, GA, 2014-2015

BOARD CERTIFICATION

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

CLINICAL INTERESTS

  • TRAUMA
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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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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
  • For Visitor Information CLICK HERE
  • 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 Visitor Information CLICK HERE
  • 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 Visitor Information CLICK HERE
  • 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 Visitor Information CLICK HERE
  • 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 Visitor Information CLICK HERE
  • 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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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 Toxiod 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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HOW SHOULD I DRESS THE BURN WOUND PRIOR TO TRANSPORTING A PATIENT?

If it’s an emergent transport, use a moist, saline dressing.

If you’re sending a patient to follow-up in our clinic in the next 24-48 hours, use a polysporn, xeroform, dry-sterile dressing.

WHAT ARE THE INDICATIONS TO INTUBATE AN ADULT PATIENT?

The indications for intubation do not differ from those for a trauma patient

ARE SYSTEMIC ANTIBIOTICS NECESSARY FOR THE MAJORITY OF NEW BURN WOUNDS?

No. The majority of early burn wounds can be treated with topical, antimicrobial agents because the risk of early burn wound infection is low.  The goal is to prevent early colonization.

WHEN SHOULD I WORRY ABOUT AIRWAY INVOLVEMENT WITH PEDIATRIC BURN PATIENTS?

The anatomy of a child places them at greater risk for airway obstruction following a thermal injury. A child’s airway is relatively small, thus less swelling is needed to cause a clinically significant airway obstruction. Practitioners or caregivers should be aware of these anatomical differences and the potential risk for airway compromise. Soot about the nose and mouth, carbonaceous sputum, and facial involvement following a thermal injury should alert the physician or caregivers to potential future airway issues.  The decision to intubate is based on good clinical judgement with the goal of securing an airway being an elective event versus emergent one.

WHAT SHOULD I DO IF I SUSPECT A CHILD ABUSE BURN?
  1. Notify Child Protective Services/Department of Child and Family Services
  2. Notify Law Enforcement
  3. Rule out other significant injuries (Head CT, Skeletal Survey if able)
  4. Document other injuries/findings
  5. Document history provided by care givers using exact quotes when able
img: http://jmsburncenters.com/wp-content/uploads/2017/05/JMS_RF_STACKED.png_

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.

All donations to BRCA Foundation are tax deductible.

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