Q. Enumerate the various modalities of treatment of burn wound. [SUST-145u] Q. Enumerate the fluid therapy in major burn, [SUST. 141] Q. Outline the initial management of a burn patient. [SUST-14J,13Ju/J] Q. Calculate the fluid requirement for a 60 kg patient having 35% burn. [SUST-13Ju] Q. How would you manage the case initially? [SUST-125] Q. Write fluid resuscitation of 40% burn, [SUST-111] ) mower (Mins ement of burn patient: a Pre-hospital care: > Immediate care (first aid): 1) Ensure rescuer safety. 2) Stop the burning process. 3) Check for other injuries. 4) Cool the burn wound: B: Gressie a 5) Give oxygen, 6) Elevate: Sitting a patient up with a burned airway may prove life-saving in the event of a delay in transfer to hospital caré Elevation of burned limbs will reduce swelling and discomfort. 7) Hospitalization: (Indications are given below). G Hospital care: > Initial assessment: 1) History taking: Age of the patient, time of burn, type of burn, site of bum, possibility of smoke inhalation. 2) Physical examination: * Assessment of vital signs: Pulse, BP, temperature, respiratory rate. * Assessment of extent of burn by rule of nine. (Please see below) 'Y application of cold water or covering with wet cloth / sterilei: Gen — iw 4+ Assesment f depth, degree of bur % ere, 2" dere Fee + Prlmonary damage, > Inia management: Te principles of managing a ace bain te the same sin any we UAT Atay cont Hts fon B—Beeahing nd venlaion Cee ge» yao velemic,, nesrtegeniC 2 eoeeatate 1B Distal sam. ABP ARDS Resp failure 1 Bo Bapmewitemfoonct conta ; a Prcurren ia Ieedleme 1.3686 —_ rer brecleme. b, spose © Baigesagmnat toptreaia. OSE FF Ber: Cyst slo Haas Son Dat: The amount of fui voine nin” 24 hous 3a Ke BO SP ul tnZ424hous: Coss solaion add wit crystalloid olin. Pla, bua, extn, Tose 035-1 ml ky prcet of burned surface aren. 1 Rit: Prough central weno ine by coal ens cathts. eg cubital fos, car fossa & gon Ce eds 470% 20 l= 00m hours = 200 a 2 hours =210 mi 3 hous = 2100) |B anion a cite hen rn i> 25 adn lt 39300) when eat tiles ee — a aie ‘WV uid is given-in case of children: 10% bum & in adult: >25% burn, © Locatresiment: ‘Strict asepsis — local antiseptic cream (1% silver sulphadiazine). pass Bled ees Singin: nt ches um.) Se+ Histery : Temnpenahue» time. & burning smnatherdial ce Supenbicial ine an causes Redness 61-ckin * Intact son ation. a oa parihal- Hides bun: * lite ae peor dlarels) saa tions tiling. landhes ty psae 2) Peep patel shickness bun: © Skin: : saten Do—net-bhorehe ~ Full thickness bum: Sikh. chose ve Lah fel ° aoe sensation’ 2 # deep pesainge Nnsenetion