Scribd Logo
Upload

Welcome to Scribd!

  • 40 views

    Burn

    Uploaded by

    Latii Leta
    The document discusses burns, classifying them based on depth of tissue damage and outlining management approaches. Burns can damage the skin, airways, lungs and immune system. Treatment involves fluid resuscitation according to the Parkland formula, wound care, analgesia, nutrition, and possibly surgery depending on the severity and extent of the burn injury.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Burn

    Uploaded by

    Latii Leta
    40 views28 pages
    The document discusses burns, classifying them based on depth of tissue damage and outlining management approaches. Burns can damage the skin, airways, lungs and immune system. Treatment involves fluid resuscitation according to the Parkland formula, wound care, analgesia, nutrition, and possibly surgery depending on the severity and extent of the burn injury.

    Original Description:

    it uses both student teacher in surgical ward,and also all health science person

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses burns, classifying them based on depth of tissue damage and outlining management approaches. Burns can damage the skin, airways, lungs and immune system. Treatment involves fluid resuscitation according to the Parkland formula, wound care, analgesia, nutrition, and possibly surgery depending on the severity and extent of the burn injury.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    40 views28 pages

    Burn

    Uploaded by

    Latii Leta
    The document discusses burns, classifying them based on depth of tissue damage and outlining management approaches. Burns can damage the skin, airways, lungs and immune system. Treatment involves fluid resuscitation according to the Parkland formula, wound care, analgesia, nutrition, and possibly surgery depending on the severity and extent of the burn injury.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 28

    BURN

    Dr. Goytiom Y(MD)


    1
    BURN
    Burn is a coagulative necrosis of tissue due

    to thermal, electrical, or chemical injury

    thermal burns are further classified as flame,

    scalding & contact burn


    Burn damages: - skin

    - airway

    - lungs 2
    3
    Cont…
     Injury to airway & lungs:

    - hot gas can physically burn nose, mouth,

    tongue, palate& larynx can swell

    subsequently

    - poisonous gases are released during burn

    e.g. - CO: usual cause of altered

    consciousness in burn

    4
    Cont…
    - inhalational injury is caused by minute
    particles in thick smoke → chemical
    pneumonitis→ pulmonary edema

    - if there is large, full thickness burn on chest


    → mechanically blocks rib movement

    5
    Cont…
     circulatory changes: burned skin activates a
    web of inflammatory cascades due to
    stimulation of pain fibers.
     Released inflammatory factors ↑ permeability
    of blood vessels causing escape of fluids &
    proteins in the first 36 hrs causing shock if
    TBSA involved is > 15%

    6
    Cont…

    Effect on immunity: significant burn


    decreases cell mediated immunity

    7
    Cont…
     Outcome of burn depends on:

    - TBSA involved

    - depth of burn

    - presence of inhalational injury

    8
    Classification of burn according to depth
     Skin has two layers: -epidermis

    -dermis: -papillary

    -reticular

    9
    10
    First degree burn
    Involves only the epidermis

    No systemic effect

    Heals with out scar

    C/F- erythema
    E.g. sunburn

    11
    Second degree burn
    Involves the whole epidermis & some of the

    dermis

    Two types: -superficial 2nd degree burn

    involves papillary dermis


    heal in 2 wks with minimal scarring

    - blister ,pain

    12
    Cont…
    Deep 2nd degree burns

    - involve reticular dermis

    -heal over a month with

    hypertrophic scarring

    C/F- reduced sensation

    - doesn't blanch with


    pressure
    13
    Third degree burn
    Involves the whole dermis

    Completely anesthetized

    No potential for re-epithelilization

    C/F-painless

    - absent capillary refill

    14
    Fourth degree burn

    Involves underlying organ/tissue:-

    subcutaneous adipose tissue, bone.

    15
    16
    Extent of burn
    Rule of nine ( Wallace Rule)

    Rule of seven

    Rule of Hand

    Lund & Browder chart

    17
    18
    19
    Criteria for admission
    BSA ≥ 20% in adults

    BSA ≥ 10% in children

    Burns involving face , hand, feet, genitalia

    Inhalational injury

    Chemical burn

    Electrical burn

    Extremes of age( young children & old people )

    Other co morbidities e.g. seizure, DM


    20
    Management
     ATLS

     intranasal O2 if there is associated inhalational injury

     Iv fluid- RL

    - 4ml/kg/TBSA +Maintenance ( parkland’s formula )

    - ½ in 8 hrs& then ½ in 16hrs


     Catheterize-urine output-50ml/hr in adults

    -1ml/kg/hr in children

    21
    Cont…

    22
    Cont…
     Analgesia

     Cimetdine IV

     Nutrition

     TAT

     Wound care

     Topical Abc e.g. silver sulfadiazine cream

     Physiotherapy

     surgery

    23
    24
    25
    26
    Cont…

    27
    Worked examples of burns
    resuscitation
    Fluid resuscitation regimen for an adult
    A 25 year old man weighing 70 kg with a 30% flame burn was
    admitted at 4 pm. His burn occurred at 3 pm.
    1) Total fluid requirement for first 24 hours
    4 ml×(30% total burn surface area)×(70 kg) = 8400 ml in 24
    hours
    2) Half to be given in first 8 hours, half over the next 16 hours
    Will receive 4200 ml during 0-8 hours and 4200 ml during
    8-24 hours
    3) Subtract any fluid already received from amount required
    for first 8 hours
    28

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy