Burn injury and Treatment

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8/3/2019 Burn injury and Treatment

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A Presentation on

Definition

A burn is an injury caused by

an exogenous agent that

produces a characteristic

reaction to local tissues

which may vary from local

erythema to full thickness

destruction of the skin and deeper tissues.

Mechanism of heat transfer

When a hot object come in contact with skin,they give up their heat by cooling while skin

accepts the heat by increasing its temperature.

Escharotomy of the extremities

Burn Size (Rule of nines)

Shallow burns

Deep Burns

Assessment of burn depth

• clinical observation of the wound

t i i fl t

systemic inflammatory

response syndrome (SIRS)

Burn Shock

Burn shock resuscitation

• The total daily maintenance fluid

requirement in the adult patient is

calculated by the following formula, where

m2 is square meters of TBSA:

Total maintenance fluid = (1500 mL/m2)

+ evaporative water loss [(25 + % TBSAburn) x m2 x 24]

• usually immediate and manifests as mucosaland submucosal erythema, edema, hemorrhage,

and ulceration.

• usually limited to the upper airway and upper

area• Edema formation may lead to upper airway

obstruction esp during the first 24 hr postburn

• Carful examination of the mouth and pharynx the presence of significant intraoral and

pharyngeal burns is a clear ndicationfor

immediate endotracheal intubation

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