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Department of Surgery

Burn surgery

Tina L. Palmieri, M.D., F.A.C.S.

Title:                     Assistant Chief of Burns, Shriners Hospital for Children Northern California
                              Associate Professor, Department of Surgery, UC Davis Medical Center

Office phone:     (916) 734-2680 and (916) 453-2050
Fax:                      (916) 453-2373 
Email address: tina.palmieri@ucdmc.ucdavis.edu

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Referral Information:

Adult Inpatient Burn: (916) 734-3636
Adult Outpatient Clinic: (916) 734-2680
Adult Nurse Clinic: (916) 734-3636
Child Inpatient Burn: (916) 453-2111
Child Outpatient Clinic: (916) 453-2180

Tina L. Palmieri, M.D., F.A.C.S., is the Director of the University of California Davis Regional Burn Center and the Assistant Chief of Burns at Shriners Hospitals for Children Northern California. She is also an Associate Professor in the Department of Surgery at UC Davis. She is certified in both General Surgery and Critical Care by the American Board of Surgery. She is currently (2006-2007) the Chair of the American Burn Association (ABA) Research Committee, Vice-Chair of the ABA Program Committee, and a journal reviewer for Critical Care Medicine, the Journal of Burn Care and Research, and the Journal of Surgical Research.

Dr. Palmieri graduated from Rockford College (Rockford, IL) with majors in both biology and German and obtained her medical school training at Northwestern University Medical School. Her surgical education includes general surgery residency at the University of Iowa Hospitals and Clinics, followed by a burn and critical care fellowship at the University of Missouri Hospital and Clinic in Columbia, Missouri. She was stationed at Keesler Air Force Base Medical Center in Biloxi, MS for four years, where she was director of the intensive care unit, assistant surgery residency program director, and member of the critical care air transport team (CCAT). She has been at the University of California, Davis, Medical Center and Shriners Hospitals for Children Northern California since 1999.
 
Clinical Program: Dr. Palmieri treats patients with acute burn injury, inhalation injury, and soft tissue disorders (toxic epidermal necrolysis, meningococcemia, traumatic tissue loss) at both at the University of California Davis (adults) and Shriners Hospital for Children Northern California (children). She also performs burn reconstruction for both adults and children after burn injury. UC Davis admits adult patients from Northern California, Nevada, and adjacent western states. Shriners Hospital admits children from the western U.S., Mexico, and the U.S. Territories. Together, the programs admit more than 500 burn patients per year and see several thousand patients in burn clinic. The burn center treatment philosophy is a team approach: professionals from multiple disciplines (nursing, respiratory therapy, nutrition, occupational therapy, physical therapy, child life, psychologists, and pharmacists) work together to assure that each patient obtains the best outcome possible.

Research: Dr. Palmieri’s research focus is analysis of outcomes after burn injury, including both the immediate physical and long-term psychological effects of burn injury on patient quality of life. Current projects include studying the impact of limiting blood transfusions on burn survival and infection rates, understanding how the body deals with acute burn stress (the hypothalamic-pituitary-adrenal response) after burn injury, and the long-term psychosocial impact of burn injury in both children and the elderly. Dr. Palmieri is one of the leaders of the Burn Multicenter Trials Group, which brings burn centers together share information and to perform meaningful outcomes research. 

Selected Bibliography:

1. Palmieri TL, Jackson W, Greenhalgh, "The Benefits of Early Tracheostomy in Severely Burned Children." Critical Care Medicine, 2002;30:922-924, 2002.

2. Palmieri TL, et al., A Multicenter Review of Toxic Epidermal Necrolysis Treated in US Burn Centers at the End of the Twentieth Century. Journal of Burn Care & Rehabilitation, Mar-Apr;23(2):87-96, 2002.

3. Kazis, LE, Liang, MH, Lee, A., Ren, X, Palmieri, TL, Tompkins, R: The Development, Validation, and Testing of a Health Outcomes Burn Questionnaire for Infants and Children 5 years of Age and Younger: American Burn Association/Shriners Hospitals for Children. Journal of Burn Care & Rehabilitation, Vol. 23, 3:196-207, May-June, 2002.

4. Palmieri TL, Petuskey K, Bagley A, Takashiba S, Greenhalgh DG, Rab GT. Alterations in Functional Movement After Axillary Burn Scar Contracture: A Motion Analysis Study. Journal of Burn Care & Rehabilitation 24:104-108, 2003.

5. Palmieri T, Aoki T, Combs E, Curri T, et al. Saturday Morning Television: Do Sponsors Promote High-Risk Behavior for Burn Injury? Journal of Burn Care and Rehabilitation. 2004;25:381-385.

6. Pham TN, Warren AJ, Phan HH, Molitor F, Greenhalgh DG, Palmieri TL. Impact of Tight Glycemic Control in Severely Burned Children.  Journal of Trauma. 2005;59:1148-54.

7. Palmieri TL, Enkhbaatar P, Bayliss R, Traber L, Cox RA, Hawkins HK, Herndon DN, Greenhalgh DG, Traber DL. Continuous Nebulized Albuterol Attenuates Acute Lung Injury in an Ovine Model of Combined Burn and Smoke Inhalation. Critical Care Medicine. 2006;34:1719-1724.

8. Palmieri TL, Caruso DM, Foster KN, Cairns BA, Peck MD, Gamelli RL, Mozingo DW, Kagan RJ, Wahl W, Kemalyan NA, Fish JS, Gomez M, Sheridan RL, Faucher LD, Latenser BA, Gibran NS, Klein RL, Solem LD, Saffle JR, Morris SE, Jeng JC, Voigt DV, Howard PA, Molitor F, Greenhalgh DG. Impact of Blood Transfusion on Outcome After Major Burn Injury: A Multicenter Study. Critical Care Medicine. 2006;34:1602-7.

9. Palmieri TL, Lee T, O’Mara MS, Greenhalgh DG. Effects of a Restrictive Blood Transfusion Policy on Outcomes in Children with Burn Injury.  Journal of Burn Care and Research, 2006.

10. Palmieri TL, Levine S, Schonfeld-Warden N, O’Mara MS, Greenhalgh DG, Hypothalamic-Pituitary-Adrenal Axis Response to Sustained Stress after Major Burn Injury. Journal of Burn Care and Research, 2006.