The Burns Unit at Masina Hospital was started in seventies under guidance of Dr. Manohar H. Keswani with four beds assigned to the Burn care in main building on second floor with the support of round tablers. (Dr. Manohar Keswani was the eminent plastic surgeon. He pioneered the Burn Care in India.)
In 1992 the Burn Care was upgraded. Ms. Bhikimai Kharas came forword for this project. With her kind help Kharas memorial centre came up. The Erik Kharas Burn Research Unit was started on the ground floor of this new building. Unit had 18 beds. (At present Unit has 15 operational beds) Honorable Late Bharat Ratna, Mr. J.R.D Tata inaugurated the Unit on 3rd May 1992. Masina Hospital has a strong sentimental attachment with the house of Tatas. Lady Soonoo Jeejibhoy (mother of Mr. Ratan Tata) was the chairman of Board of Trustees of Masina Hospital till the time of her demise.
Ever since it’s inception the Burn Unit has gained prime status in the city of Mumbai. With continued support by the management of Masina Hospital we are able to maintain the leading status even today. The patients are brought to Masina Hospital with a confidence of receiving good care. They came from all over Mumbai, from Maharashtra and at times from other states. Unit has become a tertiary referral centre.
Burn Unit has
|Intensive Burn Care Unit||4 Rooms|
|General Ward||9 beds|
|First class||2 Rooms|
|Operation theater complex||2 theaters|
Intensive Burn Care Unit : has four beds with individual rooms. Each room has a split Air Conditioner, Central oxygen supply, Central suction Unit and two exhaust fans (to prevent recirculation of air from one patient in the unit to other patients) There are sufficient electrical outlets for use of various equipments.
Equipments : Oxymeters, multipara monitors, Cardiac monitors, infusion pumps, syringe pumps, patient warmers, Bi-PAP ventilators and two conventional ventilators.
General Ward has nine beds in common ward so that the Burn Care in Masina hospital should be made affordable to the common man. Most of the burn patients come from poor and middle income group of society.
First Class has two individual rooms with attached toilet. Each room has window Air conditioner, personal telephone extension and Television.
All the beds have central oxygen supply and central suction unit.
Operation theater complex has two operation theaters where all the operations relating to acute burn patients are carried out. Dressings of all patients are carried out strictly in the operation theater to ascertain asepsis and to prevent cross-infection. The theater has its own sterilization system with two autoclaves and skin bank refrigerator. Theater is equipped with boyl’s type anesthesia machine, the oxymeter, multipara monitors. Electric dermatome, skin grafting handles, mesh graft dermatome, and other surgical instruments.
Other Specialties Burn care is a team work. Services of other medical specialties are requested from the Hon. Consultants attached to the Hospital. Physicians experienced in Burns medicine offer the guidance in the medical and intensive care of the patients. Consultants from other specialties (Nephrology, Ophthalmology, Gynecology, Orthopedics etc.) are requested for help whenever required.
HaemodialysisFacility for haemodialysis is made available in two rooms in IBCU which can be utilized whenever required with the help of Nephrologists attached to the Hospital Nephrology Unit
Nurses are the backbone in the care of the burn patients.
Nutritionist Following a burn injury protein caloric requirement of the patients increases steeply. The Burn patients have grossly deranged metabolism. Nutritional management is of utmost importance. Patients need more than double caloric and protein nutrition following a moderately severe burn injury. Since we are mostly treating critically injured patients nutritionist plays an important role and makes a very important member of burn team. The services of Nutritionist are now utilized from the hospital dietitian.
Butter Milk Diet : we have developed a special liquid diet which is use for feeds through the Nasogastric tube by using simple material easily available in the market. We use Curd (Yoghurt), Banana, Eggs and Sugar. This has been found to be extremely useful and yet very economical. The results have been rewarding.
Physiotherapists the hospital’s physiotherapy Department are called whenever required.
Investigation Facilities are provided by the pathology and Radiology Department of the Hospital
Future Plans : At present we find ourselves in want of beds on many occasions throughout the year. Patients who approach us for admission have to be denied because ICU/Unit is full. It is intended (depending on availability of funds) to consider the increase In the number of beds in ICU, General ward, Second class and in First class.
We need services of intensivist round the clock, more Doctors and more Nurses.
When the facilities are available the use of stem cell technology, epidermal cell culture, lasers etc. are the promising technologies and are likely to be very useful in burn patients. These will be considered when possible.