A 31-year-old malnourished male with a history of methamphetamine use was brought to the trauma bay in cardiac arrest following a motor vehicle collision. He underwent an emergent resuscitative thoracotomy with aortic cross-clamping and was transported to the operating room for definitive management. 

Initial operative findings and interventions: Converted to a clamshell thoracotomy with non-anatomic bilateral lower lung resections for hemorrhage control, exploratory laparotomy with complex hepatorrhaphy and liver packing, and temporary chest and abdominal closure after >5 L blood loss. 

Subsequent course: Required multiple re-operations within 36 hours for ongoing hemorrhage control, followed by definitive chest wall reconstruction with open reduction internal fixation (ribs 5–8 and sternum), intercostal nerve cryoablation, and STRAVIX tissue placement. 

Complication and re-intervention: One month postoperatively, hardware exposure and wound dehiscence developed. The patient underwent sharp debridement and complex flap closure (39 cm²) with application of GRAFIX and STRAVIX biologic dressings and negative-pressure wound therapy.

A 21-month-old girl sustained partial-thickness scald burns to 10% TBSA, primarily on the anterior chest and abdomen, with minor involvement of the left shoulder. 

After admission to the Burn Unit, she initially underwent non-excisional debridement and daily dressing changes with collagenase and bacitracin ointments. On post-burn day 5, the wound’s center was identified as deep partial-thickness, necessitating more aggressive treatment. On day 6, the patient underwent hydrosurgical debridement in the OR, followed by the application of two 7x10 OASIS Burn matrices. She was discharged home on post-burn day 7. 

Follow-up at 14 days post-application showed the burns had re-epithelialized well. At 42 days post-application, the patient was fully healed, demonstrating re-pigmentation with no visible scarring.