THE WHO DID WHAT & WHEN HEPARIN BURN TREATMENT STORY

In 1959, American Drs. Curtis Artz, MD, FACS and Byron Green MD, FACS injected small doses of heparin in the body of 7 burned humans and reported minimal benefits:

• Patients’ appearance, color, alertness, and sense of well being seemed better.
  
• Up to full thickness wounds appeared to resolve and heal more rapidly.
  
• No adverse side effects and no complications were noted.
  
• The kidney function was much improved.
  
• In 1963, Dr. Michael Saliba added large doses
  of heparin both on burn surfaces and within the
  body and produced major benefits.
  
  
  The Saliba Burns Institute is engaged in global programs, informing public and therapists. As a result, heparin is now used by many doctors in treatment of burned patients in many countries.
  Many projects are ongoing.
  Your participation is wanted and needed.
  
  Please contribute money and volunteer service.
  Contact the Slaiba Burns Institut
  “The heparin-treated patients were the most comfortable ones I ever treated. Every burn specialist should use heparin added to their burn treatment. I do not understand why my colleagues in the United States have not utilized heparin, where appropriate, when the benefits are so obvious and the results are so good.”
  Dr. Donald Mangus MD, ASPRS. Am. Assoc. of Plastic and Reconstructive Surgeons Retired
  
  Dr. Mangus, Founder-Director of Chico CA
  Community Hospital Burn Center, utilized
  Heparin Protocol in treating >250 patients.
  Worked with 4 MDs. in 2 hospitals and clinics.
  
• Gave heparin topically and by vein twice daily.
  
• For infections he mixed aqueous solutions.
  of culture-specific antibiotics with heparin
  placed on burns and into a vein twice a day.
  
• Which avoided use of messy and painful sulfa-
  based topical antibacterial creams; and made Child Scald Heparin treated
  water baths with antimicrobials unnecessary. We may not use these pictures
  
• Benefits were similar to Drs Saliba and Kruggel.
  
• Published study of 52 patients with large severe
  2nd and 3rd degree burns.
  
• Dr. Mangus presented studies at Heparin in Burns
  Int’l Meeting, Feb. 1994, in San Diego, USA; and
  in 1st Russian American Burn Meeting, June 1997
  in St. Petersburg and in Moscow, Russia. Burned arm
  
• Heparin improved burn care, reduced mortality Fire burn treated
  and procedures and enabled care of larger burns. with heparin.
  
• Days in hospital and costs were reduced 40%.
  
• Patients had few scars and contractures.
  
• Heparin is a very effective burn medication. It frequently converted deep 2nd & 3rd degree burns into superficial 2nd degree severity burns, most of which healed with smooth new skin without skin grafting.
  
• I believe it is poor judgement not to consider the use of heparin topically and parenterally for its healing effects in the early treatment of burns and improved very good cosmetic and functional results in the last healing phase.”

Ronald P. Mlcak PhD, RRT, FAARC, Director Respiratory Care, Shriners Hospital for Children, Galveston Burn Hospital and Associate Professor of Respiratory Care, School of Allied Health Science, University of Texas Medical Branch, Galveston, TX.Dr. Ronald P. Mlcak, works with 3 doctors. 1990-2008 Researcher and coauthor pioneer in studies adding heparin administered by Inhalation to treatment of thermally injured children with lung burn involvement.

Since 1990, has treated 34 +/- burned children/year, an approximate 500 total, age range infant to 18 years with heparin administered only by inhalation. Benefits include improved burn treatment, reduced procedures and mortality to about 11-12%, probably the lowest in the world.

“I believe heparin will be remembered as a monumental advance in burn treatment.”
Dr. Byron Green MD. FACS Heparin in Burns Int’l Meeting San Diego USA 1994

Two pictures of patients treated by Drs. Saliba and Kruggel of 2 scalded sailors.

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Missing Picture of Dr. Kruggel Dr. John Kruggel MD, FACS, U.S. Plastic Surgeon.

• Earliest Coworker with Dr. Saliba of
  burned patients in hospitals in San Diego.
  
• A coauthor: Saliba, Dempsey, Kruggel JL
  “Large burns in humans: treatment with
  heparin. JAMA, 1973; 225:261-269.
  
• They treated large size 2nd and 3rd degree
  burns with results listed in What Saliba and
  Coworkers Found Link.
  
• Dr. Kruggel “treated half or more of the seriously burned patients in San Diego area using heparin until University of California San Diego (UCSD) Burn
  Center was opened.” Now Retired.

Scalded Infant —Now scar free

• Dr. Mangus,Retired, Founder-Director of Chico CA
  Community Hospital Burn Center, utilized
  Heparin Protocol in treating 250 patients.
  Worked with 4 MDs. in 2 hospitals and clinics.
  
• Gave heparin topically and by vein twice daily.
  
• For infections he mixed aqueous solutions
  of culture-specific antibiotics with heparin
  placed on burns and into a vein twice a day.

  “The heparin-treated patients were the most comfortable ones I ever treated. Every burn specialist should use heparin added to their burn treatment. I do not understand why my colleagues in the United States have not utilized heparin, where appropriate, when the benefits are so obvious and the results are so good.”

  Dr. Donald Mangus MD, ASPRS. Am. Assoc. of Plastic and Reconstructive Surgeons Retired

  
  
• Which avoided use of messy and painful sulfa-based topical antibacterial creams; and made water baths with antimicrobials unnecessary.
  
• Benefits were similar to Drs Saliba and Kruggel.
  
• Published study of 52 patients with large severe 2nd and 3rd degree burns.
  
• Dr. Mangus presented studies at Heparin in Burns Int’l Meeting, Feb. 1994, in San Diego, USA; and in 1st Russian American Burn Meeting, June 1997
  in St. Petersburg and in Moscow, Russia. Fire burned arm. Heparin healed.
  
• Heparin improved burn care, reduced mortality
  and procedures and enabled care of larger burns. .
  
• Days in hospital and costs were reduced 40%.
  
• Patients had few scars and contractures.
  
• Heparin is a very effective burn medication. It frequently converted deep 2nd & 3rd degree burns into superficial 2nd degree severity burns, most of which healed with smooth new skin without skin grafting.
  
  

  As can be seen in these before and after pictures, Dr. Mangus successfully treated this badly burned arm with heparin therapy.

  
  " I believe it is poor judgement not to consider the use of heparin topically and parenterally for its healing effects in the early treatment of burns and improved very good cosmetic and functional results in the last healing phase.”