{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:09:16Z","timestamp":1760144956580,"version":"build-2065373602"},"reference-count":33,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EBJ"],"abstract":"<jats:p>Acute coronary thrombosis is a known, but rare, contributor to morbidity and mortality in patients with thermal and electrical injuries. The overall incidence of myocardial infarction among burn patients is 1%, with an in-hospital post-infarction mortality of approximately 67%, whereas the overall mortality rate of the general burn patient population is from 1.4% to 18%. As such, early detection and effective peri-operative management are essential to optimize patient outcomes. Here, we report the details of the management of an adult male patient with a 65% total body surface area severe thermal injury, who developed an ST-elevation myocardial infarction (STEMI) in the resuscitation period. The patient was found to have 100% occlusion of his left anterior descending coronary artery, for which prompt coronary artery stent placement with a drug-eluting stent (DES) was performed. Following stent placement, the patient required dual antiplatelet therapy. The ongoing dual antiplatelet therapy required the development of a detailed peri-operative protocol involving pooled platelets, packed red blood cells, desmopressin (DDAVP\u2122) and intraoperative monitoring of the patient\u2019s coagulation parameters with thromboelastography for three staged operative interventions to achieve complete debridement and skin grafting of his burn wounds.<\/jats:p>","DOI":"10.3390\/ebj5020015","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T03:49:28Z","timestamp":1717559368000},"page":"169-174","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Concomitant Severe Thermal Injury and ST-Elevation Myocardial Infarction"],"prefix":"10.3390","volume":"5","author":[{"given":"Julie","family":"Beveridge","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2869-7474","authenticated-orcid":false,"given":"Curtis","family":"Budden","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abelardo","family":"Medina","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryne","family":"Faccenda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4516-1305","authenticated-orcid":false,"given":"Shawn X.","family":"Dodd","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Tredget","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"ref_1","first-page":"26","article-title":"Cardiovascular dysfunction is burns: Review of the literature","volume":"25","author":"Sarhane","year":"2012","journal-title":"Ann. 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