Deep sole burns in several participants in a traditional festival of the firewalking ceremony in Kee-lung, Taiwan - Clinical experiences and prevention strategies

Shun-Cheng Chang, Chih-Kang Hsu, Yuan-Sheng Tzeng, Shou-Cheng Teng, Ju-Peng Fu, Niann-Tzyy Dai, Shyi-Gen Chen, Tim-Mo Chen, Chun-Che Feng

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: Firewalking is a common Taoist cleansing ceremony in Taiwan, but burns associated with the practice have rarely been reported. We analyzed the patients with plantar burns from one firewalking ceremony. Materials and methods: In one firewalking ceremony, 12 Taoist disciples suffered from contact burns to the soles of their feet while walking over burning coals. Eight of them had at least second-degree burns over areas larger than 1% of their total body surface areas (TBSAs). The age, sex, medical history, date of injury, time taken to traverse the fire pit, depth and TBSA of the burns, treatment, length of stay, and outcome were recorded and analyzed. Results: Deep, disseminated second- to third-degree burns were noted and healing took as long as three weeks in some patients. Because disseminated hypertrophic scars form after burns, the soles involved regain much of their tensile strength while walking. The patients experienced only a few difficulties in their daily lives three months after injury. Conclusion: From our experience treating patients with deep disseminated second- to third-degree plantar burns caused by firewalking, we conclude that they should be treated conservatively, with secondary healing rather than a skin graft. © 2011 Elsevier Ltd and ISBI. All rights reserved.
Original languageEnglish
Pages (from-to)1079-1083
Number of pages5
JournalBurns
Volume38
Issue number7
DOIs
Publication statusPublished - 2012
Externally publishedYes

Fingerprint

Holidays
Taiwan
Burns
Lung
Body Surface Area
Walking
Hypertrophic Cicatrix
Coal
Tensile Strength
Wounds and Injuries
Foot
Length of Stay
Transplants
Skin

Keywords

  • Contact burns
  • Firewalking
  • Foot burns
  • Temperature
  • Time factors
  • Wound healing
  • amoxicillin plus clavulanic acid
  • sulfadiazine silver
  • adult
  • article
  • bed rest
  • body surface
  • burn
  • clinical article
  • cultural anthropology
  • daily life activity
  • deep sole burn
  • disease association
  • emergency care
  • fire
  • foot injury
  • human
  • injury severity
  • length of stay
  • male
  • medical history
  • outcome assessment
  • outpatient care
  • primary prevention
  • religion
  • scar
  • Taiwan
  • wound dressing
  • wound healing
  • Adult
  • Anti-Infective Agents, Local
  • Bandages
  • Burns
  • Carboxymethylcellulose Sodium
  • Ceremonial Behavior
  • Cicatrix, Hypertrophic
  • Fires
  • Foot Injuries
  • Holidays
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Religious Philosophies
  • Silver Sulfadiazine
  • Wound Healing

Cite this

Deep sole burns in several participants in a traditional festival of the firewalking ceremony in Kee-lung, Taiwan - Clinical experiences and prevention strategies. / Chang, Shun-Cheng; Hsu, Chih-Kang; Tzeng, Yuan-Sheng; Teng, Shou-Cheng; Fu, Ju-Peng; Dai, Niann-Tzyy; Chen, Shyi-Gen; Chen, Tim-Mo; Feng, Chun-Che.

In: Burns, Vol. 38, No. 7, 2012, p. 1079-1083.

Research output: Contribution to journalArticle

Chang, Shun-Cheng ; Hsu, Chih-Kang ; Tzeng, Yuan-Sheng ; Teng, Shou-Cheng ; Fu, Ju-Peng ; Dai, Niann-Tzyy ; Chen, Shyi-Gen ; Chen, Tim-Mo ; Feng, Chun-Che. / Deep sole burns in several participants in a traditional festival of the firewalking ceremony in Kee-lung, Taiwan - Clinical experiences and prevention strategies. In: Burns. 2012 ; Vol. 38, No. 7. pp. 1079-1083.
@article{87e318ec60cf48e2ad3bdeb66b9efac7,
title = "Deep sole burns in several participants in a traditional festival of the firewalking ceremony in Kee-lung, Taiwan - Clinical experiences and prevention strategies",
abstract = "Purpose: Firewalking is a common Taoist cleansing ceremony in Taiwan, but burns associated with the practice have rarely been reported. We analyzed the patients with plantar burns from one firewalking ceremony. Materials and methods: In one firewalking ceremony, 12 Taoist disciples suffered from contact burns to the soles of their feet while walking over burning coals. Eight of them had at least second-degree burns over areas larger than 1{\%} of their total body surface areas (TBSAs). The age, sex, medical history, date of injury, time taken to traverse the fire pit, depth and TBSA of the burns, treatment, length of stay, and outcome were recorded and analyzed. Results: Deep, disseminated second- to third-degree burns were noted and healing took as long as three weeks in some patients. Because disseminated hypertrophic scars form after burns, the soles involved regain much of their tensile strength while walking. The patients experienced only a few difficulties in their daily lives three months after injury. Conclusion: From our experience treating patients with deep disseminated second- to third-degree plantar burns caused by firewalking, we conclude that they should be treated conservatively, with secondary healing rather than a skin graft. {\circledC} 2011 Elsevier Ltd and ISBI. All rights reserved.",
keywords = "Contact burns, Firewalking, Foot burns, Temperature, Time factors, Wound healing, amoxicillin plus clavulanic acid, sulfadiazine silver, adult, article, bed rest, body surface, burn, clinical article, cultural anthropology, daily life activity, deep sole burn, disease association, emergency care, fire, foot injury, human, injury severity, length of stay, male, medical history, outcome assessment, outpatient care, primary prevention, religion, scar, Taiwan, wound dressing, wound healing, Adult, Anti-Infective Agents, Local, Bandages, Burns, Carboxymethylcellulose Sodium, Ceremonial Behavior, Cicatrix, Hypertrophic, Fires, Foot Injuries, Holidays, Humans, Length of Stay, Male, Middle Aged, Religious Philosophies, Silver Sulfadiazine, Wound Healing",
author = "Shun-Cheng Chang and Chih-Kang Hsu and Yuan-Sheng Tzeng and Shou-Cheng Teng and Ju-Peng Fu and Niann-Tzyy Dai and Shyi-Gen Chen and Tim-Mo Chen and Chun-Che Feng",
note = "被引用次數:1 Export Date: 21 March 2016 CODEN: BURND 通訊地址: Chang, S.-C.; Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Cheng-Gung Road, Taipei 11490, Taiwan; 電子郵件: csc901515@hotmail.com 化學物質/CAS: amoxicillin plus clavulanic acid, 74469-00-4, 79198-29-1; sulfadiazine silver, 22199-08-2; Anti-Infective Agents, Local; Carboxymethylcellulose Sodium, 9004-32-4; Silver Sulfadiazine, 22199-08-2 參考文獻: Fire-walking in Japan (1919) Hyd J Sci, 50 (1285), p. 162. , AUGUST; Sayampanathan, S.R., Ngim, R.C., Foo, C.L., Fire walking in Singapore: A profile of the burn patient (1997) J R Coll Surg Edinb, 42, pp. 131-134; Lin, K.H., (2008) Study of the Firewalking Ceremony of Er-jie Major Temple of I-lan, , Master's Dissertation University of Fo Guang. No.160, Linwei Rd., Jiaosi, Yilan County 26247, Taiwan; Sayampanathan, A.A., Fire walking in Singapore - A study of the distribution of burns (2010) Burns, 36, pp. 711-715; Fonseka, C., Fire-walking: A scientific investigation (1971) Ceylon Med J, 16, pp. 104-109; (2009) Firewalking Festival Mt Takao Japan, , http://www.youtube.com/watch?v=tWArCzYQyHg&NR=1, [March 8]; Xian-Wen, Ko., Ebullition phenomenon (2005) Scientific Development, 389, pp. 65-67. , MAY; Wang, K.S., Zen, W.L., Lu, L.H., Meng, C., Tsai, M.J., Sole burns sustained during the passage of the fire ritual (2006) Taipei Med J, 3, pp. 70-75. , [in Chinese]; Zachary, L.S., Heggers, J.P., Robson, M.C., Smith Jr., D.J., Maniker, A.A., Sachs, R.J., Burns of the feet (1987) J Burn Care Rehabil, 8, pp. 192-194; Rochat, A., Kobayashi, K., Barrandon, Y., Location of stem cells of human hair follicles by clonal analysis (1994) Cell, 76, pp. 1063-1073; Blanpain, C., Stem cells: Skin regeneration and repair (2010) Nature, 464, pp. 686-687; Jones, P.H., Watt, F.M., Separation of human epidermal stem cells from transit amplifying cells on the basis of differences in integrin function and expression (1993) Cell, 73, pp. 713-724; Jones, P.H., Harper, S., Watt, F.M., Stem cell patterning and fate in human epidermis (1995) Cell, 80, pp. 83-93; Miller, S.J., Burke, E.M., Rader, M.D., Coulombe, P.A., Lavker, R.M., Re-epithelialization of porcine skin by the sweat apparatus (1998) J Invest Dermatol, 110, pp. 13-19; Barret, J.P., Herndon, D.N., Plantar burns in children: Epidemiology and sequelae (2004) Ann Plast Surg, 53, pp. 462-464; Singh, K., Prasanna, M., Tangential excision and skin grafting for ash burns of the foot in children: A preliminary report (1995) J Trauma, 39, pp. 560-562; Dean, S., Press, B., Outpatient or short-stay skin grafting with early ambulation for lower-extremity burns (1990) Ann Plast Surg, 25, pp. 150-151; Fu, X.-B., Sun, T.-Z., Li, X.-K., Sheng, Z.-Y., Morphological and distribution characteristics of sweat glands in hypertrophic scar and their possible effects on sweat gland regeneration (2005) Chin Med J, 118 (3), pp. 186-191",
year = "2012",
doi = "10.1016/j.burns.2011.11.001",
language = "English",
volume = "38",
pages = "1079--1083",
journal = "Burns",
issn = "0305-4179",
publisher = "Elsevier Limited",
number = "7",

}

TY - JOUR

T1 - Deep sole burns in several participants in a traditional festival of the firewalking ceremony in Kee-lung, Taiwan - Clinical experiences and prevention strategies

AU - Chang, Shun-Cheng

AU - Hsu, Chih-Kang

AU - Tzeng, Yuan-Sheng

AU - Teng, Shou-Cheng

AU - Fu, Ju-Peng

AU - Dai, Niann-Tzyy

AU - Chen, Shyi-Gen

AU - Chen, Tim-Mo

AU - Feng, Chun-Che

N1 - 被引用次數:1 Export Date: 21 March 2016 CODEN: BURND 通訊地址: Chang, S.-C.; Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Cheng-Gung Road, Taipei 11490, Taiwan; 電子郵件: csc901515@hotmail.com 化學物質/CAS: amoxicillin plus clavulanic acid, 74469-00-4, 79198-29-1; sulfadiazine silver, 22199-08-2; Anti-Infective Agents, Local; Carboxymethylcellulose Sodium, 9004-32-4; Silver Sulfadiazine, 22199-08-2 參考文獻: Fire-walking in Japan (1919) Hyd J Sci, 50 (1285), p. 162. , AUGUST; Sayampanathan, S.R., Ngim, R.C., Foo, C.L., Fire walking in Singapore: A profile of the burn patient (1997) J R Coll Surg Edinb, 42, pp. 131-134; Lin, K.H., (2008) Study of the Firewalking Ceremony of Er-jie Major Temple of I-lan, , Master's Dissertation University of Fo Guang. No.160, Linwei Rd., Jiaosi, Yilan County 26247, Taiwan; Sayampanathan, A.A., Fire walking in Singapore - A study of the distribution of burns (2010) Burns, 36, pp. 711-715; Fonseka, C., Fire-walking: A scientific investigation (1971) Ceylon Med J, 16, pp. 104-109; (2009) Firewalking Festival Mt Takao Japan, , http://www.youtube.com/watch?v=tWArCzYQyHg&NR=1, [March 8]; Xian-Wen, Ko., Ebullition phenomenon (2005) Scientific Development, 389, pp. 65-67. , MAY; Wang, K.S., Zen, W.L., Lu, L.H., Meng, C., Tsai, M.J., Sole burns sustained during the passage of the fire ritual (2006) Taipei Med J, 3, pp. 70-75. , [in Chinese]; Zachary, L.S., Heggers, J.P., Robson, M.C., Smith Jr., D.J., Maniker, A.A., Sachs, R.J., Burns of the feet (1987) J Burn Care Rehabil, 8, pp. 192-194; Rochat, A., Kobayashi, K., Barrandon, Y., Location of stem cells of human hair follicles by clonal analysis (1994) Cell, 76, pp. 1063-1073; Blanpain, C., Stem cells: Skin regeneration and repair (2010) Nature, 464, pp. 686-687; Jones, P.H., Watt, F.M., Separation of human epidermal stem cells from transit amplifying cells on the basis of differences in integrin function and expression (1993) Cell, 73, pp. 713-724; Jones, P.H., Harper, S., Watt, F.M., Stem cell patterning and fate in human epidermis (1995) Cell, 80, pp. 83-93; Miller, S.J., Burke, E.M., Rader, M.D., Coulombe, P.A., Lavker, R.M., Re-epithelialization of porcine skin by the sweat apparatus (1998) J Invest Dermatol, 110, pp. 13-19; Barret, J.P., Herndon, D.N., Plantar burns in children: Epidemiology and sequelae (2004) Ann Plast Surg, 53, pp. 462-464; Singh, K., Prasanna, M., Tangential excision and skin grafting for ash burns of the foot in children: A preliminary report (1995) J Trauma, 39, pp. 560-562; Dean, S., Press, B., Outpatient or short-stay skin grafting with early ambulation for lower-extremity burns (1990) Ann Plast Surg, 25, pp. 150-151; Fu, X.-B., Sun, T.-Z., Li, X.-K., Sheng, Z.-Y., Morphological and distribution characteristics of sweat glands in hypertrophic scar and their possible effects on sweat gland regeneration (2005) Chin Med J, 118 (3), pp. 186-191

PY - 2012

Y1 - 2012

N2 - Purpose: Firewalking is a common Taoist cleansing ceremony in Taiwan, but burns associated with the practice have rarely been reported. We analyzed the patients with plantar burns from one firewalking ceremony. Materials and methods: In one firewalking ceremony, 12 Taoist disciples suffered from contact burns to the soles of their feet while walking over burning coals. Eight of them had at least second-degree burns over areas larger than 1% of their total body surface areas (TBSAs). The age, sex, medical history, date of injury, time taken to traverse the fire pit, depth and TBSA of the burns, treatment, length of stay, and outcome were recorded and analyzed. Results: Deep, disseminated second- to third-degree burns were noted and healing took as long as three weeks in some patients. Because disseminated hypertrophic scars form after burns, the soles involved regain much of their tensile strength while walking. The patients experienced only a few difficulties in their daily lives three months after injury. Conclusion: From our experience treating patients with deep disseminated second- to third-degree plantar burns caused by firewalking, we conclude that they should be treated conservatively, with secondary healing rather than a skin graft. © 2011 Elsevier Ltd and ISBI. All rights reserved.

AB - Purpose: Firewalking is a common Taoist cleansing ceremony in Taiwan, but burns associated with the practice have rarely been reported. We analyzed the patients with plantar burns from one firewalking ceremony. Materials and methods: In one firewalking ceremony, 12 Taoist disciples suffered from contact burns to the soles of their feet while walking over burning coals. Eight of them had at least second-degree burns over areas larger than 1% of their total body surface areas (TBSAs). The age, sex, medical history, date of injury, time taken to traverse the fire pit, depth and TBSA of the burns, treatment, length of stay, and outcome were recorded and analyzed. Results: Deep, disseminated second- to third-degree burns were noted and healing took as long as three weeks in some patients. Because disseminated hypertrophic scars form after burns, the soles involved regain much of their tensile strength while walking. The patients experienced only a few difficulties in their daily lives three months after injury. Conclusion: From our experience treating patients with deep disseminated second- to third-degree plantar burns caused by firewalking, we conclude that they should be treated conservatively, with secondary healing rather than a skin graft. © 2011 Elsevier Ltd and ISBI. All rights reserved.

KW - Contact burns

KW - Firewalking

KW - Foot burns

KW - Temperature

KW - Time factors

KW - Wound healing

KW - amoxicillin plus clavulanic acid

KW - sulfadiazine silver

KW - adult

KW - article

KW - bed rest

KW - body surface

KW - burn

KW - clinical article

KW - cultural anthropology

KW - daily life activity

KW - deep sole burn

KW - disease association

KW - emergency care

KW - fire

KW - foot injury

KW - human

KW - injury severity

KW - length of stay

KW - male

KW - medical history

KW - outcome assessment

KW - outpatient care

KW - primary prevention

KW - religion

KW - scar

KW - Taiwan

KW - wound dressing

KW - wound healing

KW - Adult

KW - Anti-Infective Agents, Local

KW - Bandages

KW - Burns

KW - Carboxymethylcellulose Sodium

KW - Ceremonial Behavior

KW - Cicatrix, Hypertrophic

KW - Fires

KW - Foot Injuries

KW - Holidays

KW - Humans

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Religious Philosophies

KW - Silver Sulfadiazine

KW - Wound Healing

U2 - 10.1016/j.burns.2011.11.001

DO - 10.1016/j.burns.2011.11.001

M3 - Article

VL - 38

SP - 1079

EP - 1083

JO - Burns

JF - Burns

SN - 0305-4179

IS - 7

ER -