Contents

SECTION 1: General Considerations

1. History, Epidemiology and Prevention of Burns .................................................................................................. 3
Ravi Chittoria
2. Anatomy of the Skin ............................................................................................................................................ 18
Sujata Sarabahi
3. Burns: Etiology and Classification ...................................................................................................................... 25
Sameek Bhattacharya
4. Pathophysiology of Burn Shock ........................................................................................................................... 37
Arvind Vartak
5. Pathophysiology of Burn Wound ......................................................................................................................... 42
Arvind Vartak
6. Wound Healing in Burns ...................................................................................................................................... 51
Mary Babu, N Shanmuganathan, B Karthikeya Prabhu
7. Immunological Responses to Burn Injury ......................................................................................................... 69
Shankar Sriniwasan
8. The Immunobiology of Skin Transplant Rejection and Acceptance ............................................................... 73
Rakesh Kain
9. Microbiology in Burns ........................................................................................................................................... 79
Deepthi Nair
SECTION 2: Early Care in Burns
10. Initial Evaluation and Resuscitation of Burn Patient ..................................................................................... 101
Madhuri A Gore
11. Respiratory Tract Injury in Burns .................................................................................................................... 127
JC Suri, MK Sen
12. Fluid, Electrolyte and Acid-base Disturbances in Burns ................................................................................ 137
Sujata Sarabahi
13. Acute Renal Failure in Burns and its Management ...................................................................................... 142
Rajiv Kohli, Arun Goel
SECTION 3: Local Care of Burn Wound
14. Burn Wound Management ................................................................................................................................. 153
Sujata Sarabahi
15. Surgical Excision of Burn Wound and Skin Grafting ..................................................................................... 196
Pramod Kumar
16. Anesthesia for the Thermally Injured.............................................................................................................. 208
PK Verma
17. Biological Dressings and Skin Substitutes in Burns ...................................................................................... 223
PK Bilwani, Deepak Nanda
18. Skin Banking ....................................................................................................................................................... 231
Sujata Sarabahi, Deepak Nanda
19. Keratinocyte Culture .......................................................................................................................................... 235
RP Narayan
xvi Principles and Practice of Burn Care

20. Burn Wound Infection ........................................................................................................................................ 241

VK Tiwari, Sujata Sarabahi
SECTION 4: Burns of Special Types
21. Electrical Burns ................................................................................................................................................... 263
SP Bajaj
22. Industrial and Chemical Burns ......................................................................................................................... 290
Mamta Sikroria
23. Radiation Burns ................................................................................................................................................... 313
BC Shankar, PR Bongirwar, Hemant Haldavnekar
24. Friction Burns ...................................................................................................................................................... 326
Karoon Agrawal
25. Firework and Firecracker Injuries ................................................................................................................... 333
Arun Goel, Sameek Bhattacharya
SECTION 5: Burns of Special Sites
26. Facial Burns ......................................................................................................................................................... 345
PS Bhandari
27. Hand Burns .......................................................................................................................................................... 362
S Raja Sabapathy
28. Burns of Perineum and External Genitalia ...................................................................................................... 383
Deepak Nanda
29. Pediatric Burns .................................................................................................................................................... 390
Harish Chellani, Sugandha Arya
30. Burns during Pregnancy ..................................................................................................................................... 405
Shailesh Ranade
SECTION 6: General Management and Rehabilitation
31. Multiple Organ Dysfunction Syndrome in Burns ........................................................................................... 413
Anil Chadha , Indu Chadha, Amitabh Singh
32. Guidelines for Nutritional Management of the Burn Patient ....................................................................... 434
Savita Arora
33. Physiotherapy for Burn Patients ....................................................................................................................... 450
Sarla Passi
34. Post Burn Sequelae and their Management .................................................................................................... 468
Arun Goel
35. Medicolegal Aspects of Burn Injuries ............................................................................................................... 516
Chandrakant, Sujata Sarabahi
36. Legal Requirements in Managing Burn Patients ............................................................................................ 524
Atul Kumar Shah
37. Burn Disfigurement and Physical Impairment Calculations ........................................................................ 527
Atul Kumar Shah
SECTION 7: Organization of Burn Care
38. Organization of a Burn Unit .............................................................................................................................. 537
Madhuri A Gore
39. Burn Injury Management in Disasters: Indian Perspective ......................................................................... 546
Ravindra Tah
Appendices ..................................................................................................................................................................... 569
Investigations ................................................................................................................................................................. 587
Index ........................................................................................................................................................................... 601