Burns - Final

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Initial Assessment andInitial Assessment andResuscitation of the SeverelyResuscitation of the SeverelyBurned PatientBurned Patient

Charles J. Yowler, MD, FCCMCharles J. Yowler, MD, FCCM

Associate Professor of SurgeryDirector, Burn Center MetroHealth Medical Center CampusCase Western Reserve University

Burn InjuryBurn Injury

Burn injuries per year - over 2 millionER visits - 700,000Hospitalizations - 45,000Mortality rate – 6% (4,500 annually)•Burn size with 50% survival -

AGE%

2-18 9018-45 80>7030

Initial ApproachInitial Approach

ABCs of ATLSInitial fluid managementMonitoring of resuscitationTopical agentsIndications for escharotomiesElectrical injury

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