Al terrorist bomb attack at Trauma Centre of Civil hospital, Ahmedabad resulted in 49 casualties and large number of Burn injuries. The difference in this attack from other mass casualties was that it occurred in Trauma centre of the hospital itself, which disrupted the entire Disaster management plan of Civil Hospital. We are discussing here the nature of Burn injury that the patients had, their management and other associated secondary problems because of blast.

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Communication challenges and dysphagia are commonly seen in patients with burns of varying degree and types. These may be subsequent to multiple or prolonged intubations, ventilator use and tracheostomy tubes. Speech - Language Pathologists (SLP's) play an active role in dealing with these conditions along with support from members of other disciplines. Burn care management is provided in various hospitals in India. However, the current inclusion or the need for inclusion of SLP services in burn care management in the Indian scenario has not been appraised or dwelt upon. Considering the pertinent areas of SLP expertise, the need to educate burn care teams on the benefits of SLP inclusion is highlighted. Comprehensive evaluation and understanding of how multidisciplinary management including SLPs may benefit the patient in terms of reduction in the length of hospitalization and cost-effective care is also discussed.

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Objective: To analyze all cases of post burn axillary contracture in our department for 2½ years based on age, sex, side distribution. To study axillary contracture based on type, severity and various surgical options based on duration of hospital stay, complication rate, recontracture rate and patient compliance. Methods: A prospective analysis of all post burn contractures treated with contracture release with split skin graft and by flaps in our department. Results: Thirty one patients were included in our study. Male to female ratio was 1:3.42 ,left to right side involvement ration was 1:2.1 ,mean age of patients was 26.2. The commonest axilla contracture was type 1 and 2 with 58% having moderate contracture. When comparing surgical options for contracture release, compliance, post operative complications, re contracture rate and average hospital stay were less in flaps than in skin grafts.

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One hundred and four electrical burns patients were treated in a 2-year period at our center. The majority were males mainly involved in utility work handling electricity. Majority occurred due to misuse, inattentiveness and lack of knowledge. Electrical burns were responsible for 7.2% of all burn admissions. Two major complications were encountered: Gangrene of extremities resulting in amputations (57%) at various levels, and acute renal failure (17%). The mortality rate was 25%. Therefore, to prevent the morbidity and mortality of electric burns appropriate education of utility workers associated with electric work, and education of parents is of paramount importance.

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