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Skin donation awareness presentation new by Dr. Sunil Keswani, National Burns Centre, Airoli
- 1. SKIN DONATION AWARENESS Dr. Sunil Keswani Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 2. WE MAKE BY BUT WHAT A WE GET, LIFE WE GIVE. WE MAKE BY LIVING WHAT A Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Sir Winston Churchill
- 3. organ donation gift a lifeā¦.. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 4. Two lakh Indians require Organ transplants every year, not even 5% are getting organs they need Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, Organ Donors Per Million nbcairoli@gmail.com
- 5. Giving means Livingā¦.. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 6. IS THE BIGGEST ORGAN IN THE BODY Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 7. Beauty may not be skin deep, but life can sometimes beā¦ Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 8. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 9. S K I N Why donate skin? ā¢ Acts as the most effective dressing ā¢ Acts as a barrier to infection & the rate of infection is reduced For Burns Patients, ā¢ Reduces the pain ā¢ Increases the survival rate & cost of treatment goes down ā¢ It is an ideal and cost-effective dressing compared to highly expensive artificial skin substitute like Integra ā¢ One piece of 10x10cm skin substitute called Integra costs Rs50,000 Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 10. How and when can one donate skin? ļ¶ When a person can donation his skin? A person can donate his skin after his death. Skin can be donated within in 6 hours from the time of death ļ¶ Who can donate skin? Any one can donate skin irrespective of sex & blood group, the minimum age of the donor should be 18 years but there is no upper age limit, even a 100-year-old person can donate his skin and it will be used for treatment ļ¶ What conditions render skin unfit for donation? Skin of persons suffering from AIDS, Hepatitis B & C, Sexually Transmitted Diseases, Skin Cancer, Active Skin Disease and Septicemia are considered unfit for donation. At the time of skin harvesting, blood sample from the body of the deceased is also taken and necessary test for HIV, Viral markers & Hepatitis is carried out at the Skin Bank Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 11. Who performs the procedure & how? ļ¶ Who performs the Skin Harvesting procedure? Skin Harvesting is performed by Skin donation Team consisting of one Doctor, two Nurses and one attendant ļ¶ How the skin is harvested? A special instrument called DERMATOME harvests skin, it is a battery-operated instrument made exclusively for skin harvesting only ļ¶ Where and how much time the whole Skin Donation procedure takes? Skin Bank Team will come to the donorās home, hospital or morgue wherever the donor is kept. We donāt need to shift the donor to the operating room, hospital or ambulance. The whole procedure takes only about 30 ā 45 minutes. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 12. Where is the skin removed from? ļ¶ From which part of the body skin is harvested? Skin is harvested from both the legs, both the thighs and the back ļ¶ Is entire thickness of the skin is harvested? NO, there are total 8 layers of skin; we harvest only the 1/8th layer i.e. the uppermost layer of the skin is only harvested ļ¶ Is their any bleeding or disfigurement to the body? No, there is no bleeding from the site where skin if harvested from and there is no disfigurement to the body also. After the procedure we bandage the parts from where skin is harvested in a proper way Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 13. Is it a cumbersome process for the kin? ļ¶ Is the consent for skin donation is taken before the skin harvesting procedure? Yes, a doctor will take consent of the next of kin of the donor and also a witness is required to sign the consent form before we start the procedure. The whole procedure will be explained to you by the Doctor before start of the procedure ļ¶ Do we have to pay the Skin Donation Team? No, you donāt have to pay anything to the Skin Donation Team, selling & buying organs is illegal ļ¶ Do we need to produce any documents to the Skin Bank Team when they arrive? Yes, you need to produce the DEATH CERTIFICATE and its photocopy that will be evaluated by the Team Doctor Dr. Sunil Keswani, National Burns Centre, before starting the procedure www.burns-india.com, nbcairoli@gmail.com
- 14. What happens after donation? ļ¶ How will my donation be used? After the skin is harvested, skin will be evaluated, processed, screened at our skin bank, and then supplied to the Burns Surgeon for transplanting on burn patients ļ¶ How do you preserve the skin & how long it can be preserved? We preserve skin in 85% glycerol solution, it is stored between 4-5 degree Celsius and it can be stored for a period of 5 years ļ¶ Is there any kind of Donor-Recipient matching required for skin transplant? No, any oneās skin can be transplanted on any one, there is no blood matching, no color matching, no age matching required. Once all the blood reports are Dr. Sunil Keswani, National Burns Centre, negative the donor skin can be transplanted freely www.burns-india.com, nbcairoli@gmail.com
- 15. So what do I do to donate skin? ļ¶ Is it compulsory to pledge or register ourselves with the skin bank if we wish to donate skin? No, itās not compulsory to pledge or register, even if you have not registered harvesting can be carried out once a call is made in time. If you register, a Skin Donor I.D Card is provided to you along with a Skin donation Magnetic Sticker, āI AM A SKIN DONORā Pocket card for future references. You can register online on www.skindonation.in ļ¶ If we want to call the Skin Bank Team for a skin donation call what should we do? You can call us on the 24 hours SKIN DONATION HELPLINE NUMBER 27793333. There is a team on stand by 24 hours; a skin donation team will carry out the call irrespective of time Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
- 16. Join us in spreading awareness Awareness in social communities Awareness in corporate offices Volunteer in Operation Restore And, finally take the decision to donate when the Awareness in schools and colleges Participate in the Organ Dr. Sunil Keswani, National Burns Centre, Donation Week www.burns-india.com, nbcairoli@gmail.com āTimeā comes
- 17. NATIONAL BURNS CENTER - RCBN SKIN BANK ļ¶ The National Burns Center promoted by the Indian Burns Research Society is an unique and pioneering project to provide comprehensive research and advance training facilities in the latest Burns Care technology specially adapted to Indiaās present socioeconomic profile characterized by low incomes, unsanitary domestic environment and low resistance to infection ļ¶ It has been established to focus attention and effort on all aspects of Burns in order to develop expertise in this particular area of specialization to create an Institution, which will set standard of excellence in Research, Training, Prevention, Treatment and Rehabilitation relating to burns National Burns Centre Sector-13, Airoli, Samarth Ramdas Swami Marg, Navi-Mumbai-400708 (INDIA). Helpline No.: +91-22-2779 3333 Dr. Sunil Keswani, National Burns Centre, Email: skinbanknbc@gmail.com www.burns-india.com, nbcairoli@gmail.com
- 18. Do visit us and see our facilities www.skindonation.in www.burns-india.com Email skinbanknbc@gmail.com nbcairoli@gmail.com Partnering NBC are Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Amsterdam Skin Donation Helpline: 022 2779 3333
Editor's Notes
- Introduction story to Organ donation: Tell this as a story I recall when a friend lost his maternal grandmother within seconds the home got enveloped into a silence of a different kind. I could see the family just held on to each other and stood still. A few moments later my friendās uncle broke the silence. He made a phone call and smiled at us. It left me bemused but the faint smile was infectious. Friendās mother and aunt too smiled a bit. An hour later two unknown adults walked into the house and when they left they looked at us, the grandchildren, and said, āIt is your day to feel both extremely sad and proud.ā She had pledged donation of her eyes. Thatās how I first learnt about organ donation ā the goodness of it. Soon after I started reading about the facts behind organ donation to know what it takes to be a donor.
- On a yearly basis, nearly two lakh Indians require organ transplants. Shockingly, not even Ā 5% of the victims are able to get the organs they need. Nearly three million Indians have lost their life due to non-availability of organs for organ transplant. Is it not an irony that despite our billion-plus population we still experience a huge paucity of organs? Ā ā¢ Statistics of other nations show that Australia has 11 organ donors per million, Britain has 27, Canada has 14, Spain has 35.1 donors, USA has 26 donors per million. India's statistics leaves little to be desired at 0.08 donors per million population. ā¢ Nearly 1.5 lakh Indians are victims of kidney failure every year and need kidney transplant to survive. Only 3000 among these are able to survive with kidney transplants, and as for the rest, death is inevitable, mainly due to lack of kidney donors. ā¢ Only 38,000 eyes are collected annually amid the requirement of 2 lakh corneas. The rest have no choice but to suffer corneal blindness. It is not as if organs are not available. Whoever dies of natural death or due to an accident is a potential donor. Despite this, many patients are unable to find donors for organ donation. Ā Myths and misconception about organ donation makes things worse. In the name of religion and reincarnation, many do not tread this path as they fear being born again without the donated organs. The truth is, most religions encourage compassion for humanity and support organ donation.
- Different organs such as heart, liver, kidneys and tissues such as corneas and bone marrow can now be successfully transplanted into patients who can then expect to survive for years or even decades. It is the treatment of choice for many diseases. Transplantable organs and tissues are removed in a surgical procedure following a determination, based on the donorās medical and social history, of which are suitable for transplantation.
- The largest organ in the human body is the one you can see most easily: the skin. The skin is considered an organ because it has some very specific functions ā like maintaining body temperature and protecting the other organs from bacteria ā that require some specialized tissues. The skin of an average adult has a surface area of over 21 square feet and accounts for 6% to 10% of your body weight, edging out the liver, your body's second-largest organ, which accounts for approximately 2.5% of your body weight.
- Beauty may not be skin deep, but life can sometimes beā¦ Quote this to a burn victim and youād realize the turmoil and torture that follows a serious burn injury. Remember the time your friend accidently spilled a hot beverage on your hand and you cursed him under your breath, can you recollect the stinging pain? Well, now multiply the intensity of the pain you experienced 104 times and club it with the feelings of discomfort, helplessness, unbearable stench and hopelessness, then maybe youāll be able to understand just a little about a person battling life from 3rd degree burns. One canāt also ignore the psychological trauma of enduring a burn injury and the possibility that despite the repeated dressings and painful therapies, chances are that he/she may die of infection.
- In India, nearly 5-7 million cases of burn injuries occur each year, many of these cases results in painful deaths while many patients come to be crippled for life. But there is so much that you can do for those who have a chance. Most people are not aware of the concept of skin donation and sadly it has not been really endorsed by celebrities to give it the due attention the cause deserves. Rotary International and National Burns Centre has taken up the cause of creating awareness about Skin Donation. Paresh Rawal and his wife ā ex Miss India Swaroop Sampat, are with the National Burns Institute skin bank, and have pledged to donate their skin. August 1st which is celebrated as Skin Donation Day.