Clinical Challenges in Burn Surgery: Have Some Skin (Substitutes) In the Game

Join our burn team as they dive into the complex world of skin substitutes in burn care, breaking down a practical four-axis framework to help clinicians navigate product selection, patient factors, and clinical goals when managing massive burn injuries.

Hosts: 
- Kathleen Romanowski – University of California Davis Hospital, Shriners Hospital Sacramento 
- Laura Johnson – Grady Memorial Hospital 
- Lauren Nosanov – Grady Memorial Hospital 
- Victoria Miles – Louisiana State University Health Science Center, University Medical Center New Orleans 

Learning objectives: 
1. Classify skin substitutes along four axes: layer replaced, cellularity, origin, and duration. 
2. Integrate wound, patient, phase-of-care, and goal factors to select an appropriate skin substitute or combination strategy. 
3. Critically appraise the evidence base for skin substitutes, including industry influence and the distinction between adjunctive tools and definitive autologous coverage.

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