Burn injury and Treatment

101
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 A Presentation on

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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.

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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.

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Escharotomy of the extremities

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Burn Size (Rule of nines)

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Shallow burns

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Shallow burns

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Deep Burns

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Deep Burns

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 Assessment of burn depth

• clinical observation of the wound

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t i i fl t

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systemic inflammatory 

response syndrome (SIRS) 

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Burn Shock

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Burn shock resuscitation

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• 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]

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• 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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