P. 1
Surgery for victims of war

Surgery for victims of war

5.0

|Views: 1,072|Likes:
This handbook summarizes the experience of leading practitioners in the field of war surgery and is intended to help military and civilian surgical teams treat people wounded in armed conflicts. It covers first aid, admission of urgent cases and triage, skin grafts, treatment of infections, wounds and burns, plastic surgery and anaesthesiology.

ICRC, Geneva, 1998, 3rd ed. revised, XV + 203 pp., illus., photos., 16 x 23 cm, English, French / Price CHF 30.- / ref. 0446

http://www.icrc.org/web/eng/siteeng0.nsf/html/p0446
This handbook summarizes the experience of leading practitioners in the field of war surgery and is intended to help military and civilian surgical teams treat people wounded in armed conflicts. It covers first aid, admission of urgent cases and triage, skin grafts, treatment of infections, wounds and burns, plastic surgery and anaesthesiology.

ICRC, Geneva, 1998, 3rd ed. revised, XV + 203 pp., illus., photos., 16 x 23 cm, English, French / Price CHF 30.- / ref. 0446

http://www.icrc.org/web/eng/siteeng0.nsf/html/p0446

More info:

Categories:Types, Brochures
Published by: International Committee of the Red Cross on Nov 04, 2009
Copyright:Traditional Copyright: All rights reserved

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

01/30/2013

pdf

text

original

When the burn wound has been assessed and resuscitation has
started, attention can be turned to cleaning the wound.
The patient should be sedated and the burn wound washed with
detergent soap or povidone iodine scrub solution if available. Blis-
ters should be left undisturbed but broken blisters and non-viable
tissue should be removed. Large burn wounds may be more easily
cleaned by placing the patient in a bath or shower.
During the first 48 hours, the increasing oedema of the tissues
and the constricting effects of the thick unyielding burn eschar may
result in a tourniquet effect when the burns are circumferencial.
Burns of the chest may restrict breathing and those of the limbs
may cause ischaemia.

Escharotomy is the process of incising the eschar down to the
subcutaneous fat to allow relief of the constriction.

180

Escharotomy should be performed with a sharp knife without
anaesthetic, because such full thickness burn areas are insensitive.

You're Reading a Free Preview

Download
scribd