Buens ave Clechomognehe laches Bre bien canally ee f desy TE fem an energy ee ee te The MD extencheol Caused by Haome),y elecksicol , chemica ea jury com moperses skin, and these loss og eo and undesly, si Chih corp Impadrement} of cha rouge ts Sein - bo Achons OF BoRNS Olek classihohon a D4 gst oe Suigexhuol He Lugneo- a p eoliodk only Supeokeral Jeyer hskin ¥ 60 epidevmis 7 floes tl stoed nog Niche1h ediaye healrg, bd buons or fbxhal Hhiel <= Sntize Micknoss, cf e@pclesmiy ard ¢° eee mis InvoMad v7 New Ghhve Iricknesy 4 ep iclearmis 4 oleamls involved ) amas: py Puan ajo Ws cobito or ae senaahon because ponve |wer ee x TCLASTG eT BORNS DERN O, Rule of Nine ) Sane | & + In addlihon -to clepth of buen injusy, Ctnhoher factor & ceboominre sevesih, of aluon is Me extend A burn Polesk 4 Tennison ioe ee HnISay , eveloped Rule Tee Calculate r q depiclls on estimate fg *% 4 Tesn hurned | a T+ elivicles ly surface Ink Crea, that ave 9 ov mulhple ZA ep Tatha tobe | bocly “Very oul un. enty” Sax‘Burn Estimate and O!agram ‘Age vs Area Initial Evaluation ou (Date of Bur. Time of Buen, 00. ‘weight Date ot Admission Physical Rehabilitation: Assessment and Signature oat, eins | a [oo are | iy. |e | mm | Head 13 733 | ‘Neck 2 2 24 esto | 73 Fost Taint in B.Buitock D2 ‘L Butiock Me wa ‘Gentaia__ J. 4 Byam n 4 LALAm A L Al * pom tk 3 xen 3 3 ‘BL Hond eT wal Te 42) heise wi ma on AR. Kay FT Full Thicknoss an Thick ass, Figure 26-10. rode cas {ery Shriners Burns Hosp ‘inaat]LPSSIFICATION . New - 2 proach + = 1) ea poxheial kung - Ce) domane ealy to epidesrmis) ~ > 24 Sunbuwns | > Skin Oppeass ved /eowbmahoua 4 > my Pino Sa Seale eee epider Aomace® and desmel trmilahon, bul head a eg Peer Haan, oe Si he# Mision f fovrm Srdog no of inHlommabry med aly Epi cleorno| i damoge ae of Vesoa rh... © Subsieunces Poa ee a Superhero) bus ny His ea Fishes a = Slight oe bt _ Celera ae he pe sen} Ales oO Supeatrera| btn» these af ¢ he arta hecones Feades ty bia : e mask celk, et > y e wd seu Cu S SSCS SEE etg SGepidermis ee buen | eae epee tog ms Ue he —— + 2 Rall +hiclenes burrng Ps : subclerma| burens , \ 0 {idleness Tous naiee Rama 1 cl : Sa ; @ threugh 7 epicloon anc inde MuUGN “IRS Enyclennis 1 Ree 5 (cease ielowmis — TS completely olestroyed ) Mild “fe Moclonale. alte ots deomn aoris. Bemoved 2 is hed. Oppronaigte “ound i ! ? » >ps is poovholly cboatroyed . Phese are Some Viable epiclesmoal cells 4 helps In we -epithehzahon zs Scaw -foormahan — [keloid or hy peste pial i+ cloes 4 aft hecomes not ys Pree es Meee coound js not teV7e © In fechan than Inturn boo qe nk ot regpen! CONSEBLICN C29, ums ove ~ ve haper lee phte keloid scar.Aeshmvyed eo, ekoly .) Q Retlenecus fab layes a i SO oe extend > Chazy leona by | “ * Bors Kormahon Z Fame a deviolined hs sua ¥ a Ravel poechmen} “Hee Sie cookin aa ‘ lesiccahod Coagqy lun eye louma A e , ee pecwhe icehk Chae foo & eo rey) pee Ce See ' and 2igd . The cohus of easchas py vavy foon, black ts ag, re Neere cghile ) Cobore cobs inchicates tote) (sched g , : = th, Oven. fae > Nhe > Keombosi, 7 portal blood: Vessco le > i > — Ne bla ne preven , , SY Peep ved colour co Assuglex ole complelaly of veoyed end; In clesma} Hasee re oliabryed me comund Cont be completely rasenaible ¢ 5 Gc haw cloes not ere Clashe pohly 4 @ _skin eae. fera Trait : " ha} io ae In ame of Clelumbevsenbyal eo —— burn Con Cou Course COM prexron = re aTo the myuoy. So be Vesculoy pias san eschovee nec Sey Ee << YIN Ses rhape cher ooo mid lateral ae) INCISion of eschay. ges echavechomuy pulse s Fee. mainiained and these should be Imprvemen} in per) phevn| bod Ee ee he ang ls TE Saat Subdeomo! Buens ~W< Involveg TE cbstauchon of all Arssues Vepeles mis clown mre eu je J tee: a Soe ee TT I TNT NTTCAL ORSSIFCATION OF BORNS eee me ORGS terme Pe icctizcs q buon, mo buons Buons clue te exhre, 4 M12 SP pam Bre en} sous ae * cohich = wat tweg tho Pen.persahive of skein f 2 Assuce Peve by Causing hesun celle leah, eer. Stet. Deke), flame cohen Comex m \ mack E skin Causes ions = Purana ty Ue Chtae toy exteeJN Bhemnalt buon > be : i. Buon olue te shovng acrols alka: et ee heogank Or Sob en fs ee 10h Conhyel coy hy SEIN Ono joe eyes. — Caushe Subs lances Cement can ober Luens, re otephy, of lavehed can be lVmited ey Prom pt achon : Ly Cote m>- Moist hep} OEE ia fing hoihng ft Choh Coates ton , Coffee, eke J con Course sca lelps . — usually a “pes hore] busin bah ok ph, moc van e201), IIS Miz. , Mr Rachahon Buon : = ee ——— Ruons olus to Prolonged ex 0:Eee of ele yeol pugh he » Pe altes he has Moale conlact coh am lecknea| source | Electoe@) cermsen! Floss posough bro Hissv.9 Pi ge Ing tro least sexstanes Bones ay Nowy. PA 6 2 — 3 fhload Vease a Cecwea me omles of reaslance _ 6 iy a ae sym ploms pray var occomding d te fhe “hype of cuaen) , Men , of Cupvent 4 oweg of body a Bally frewe is On entrance soounel and exist coound . Eo Ke enlesanco saound. soe —_—_—— > cuseen! comes is locask po eppeacs -yelloes ext coound yprcolly ap theve Geax on 5 any expwleion oul 4 the site , , Tissue at tha | fis oly in Seen a an, — Fhe cLeplr. and size os me buen jy not Prechstabe : I — Treve Can be extensve Aaa ‘g the oleep souches eo)thout} ts extesng] Sea ; : 1» Codediarc ‘ect : feArahyhmigs eNentoiculas le ilahon even lead -&aproteny Arrest 1 eng! complica hona Renal fal Ute UPS ccs exceasive gevtein ho egk Lacon cand Sock ts the hic: Acute Spo] com! weck thearo) Intusy cn ~ a | , bos mhalaban ot Flomes f hot gases n be sustained ee Spooko noc. toe seen d Te oF uyposeye 8_-* Besprea trea Sere “Ca shona econ, spuhem . ° My porta , —_— oo Trea ma! tahalohonal buon, Faoyn tho nholahan 3} on Gom ox forr, flames ee a fuel [oz as Mvxhize in fhe ee yey te the alveo!; ui}! Bs cone the mnhalohon Z @rwsive 9 fowta fumes veltared as Parclu a} os Com bushon. A £ hemreg| penis! 1.8, Gish, Hh ~C Colt) lovels oy — v—_ iDS aon ene lohona) bene of smoke cole Ike ler, pve, cyanicle fumas , 7} C i Using a... iste aed ‘ Inponersal —wedlucee! Oz BA teapec 0, of feos thn Jo> ke Pa coher Ins praecl 0, Concentya har is Spee ee — is Saagestive o Gp ioholahana)rae) oO er Cs Bae ose Soe pooalysts closs of Sstofackeint . ee os Cyano sis 2 Pix eqlhi exe nexs ae Hoaose ness 6 Stolclos ee Cres a Cough ‘ Se — Management of /alohono | bus - — Huy ob Reahon We on Copper racy ;hose en complehe bane : Expansion . Eis b, Qe. Bee eabing 3 > 8€RI04 Ja) breabing Cx 19 c/o pla buen PAE bret, ¢ Myra p = ae Releveahon, >» Dorn IVOn aoe oe \ © Tons *N toe as Gealie Aufhnrc tech mich uo HL. Vv os Heated humidihaha, ‘ ae odanS Inspoed O, 1 cls : LEE ee kd Seveve buyen Cases Pag pees Venti la hon me Liolina LEE, ist Toacheo Shru oer he adwviced. Nw Sue honing Pee lo “en hle hor io e greates Suchoy should be qe possible care Laing Ne- Touch Techni 5 Inleorm bent are) machine such as Biol Oe Rene ae posihve prersure leq By Is Bhen® tered) ,oe AY Flome SY Chemng]} 6 Electoral . CFfecls of Bovns : > PHYSICAL dD bess of cevlan prysrel chy hog 2 olis Aquoemen! 32> less ef a IimbHe boy | Heriowag db Depoessieyn 2 Nigh) mave % Foshhack From Pha teauma hey even! forend as mempon ee 2) eee 19 qriy- Aepanels On 2exhent aa he huons Mb aie ol TMG) bee Seca an on J Pe Stonclag aaa Systeme _compheshans cee penis os ie © Infechas — Some. Vroulen! aos aoO pneumonra F —— & Resprator chalsess ti f>@) eealh sounols %, Cashonacécis “puhim ; “ Fuynpoxomia vi, Cason mongorde Pe Ing Tet cheal Aamoge ‘ vil, Lannge Char cuy i richan ; du Ino nam ¢ akveola: Reapion Jong ca © Metabo he fom Seo hens 12 melabahe. ond ealgholile a beMs Me used a aleophy of ms. Godiac Compheo ho ha ON r ED ¢ “oe Hoemedunarnie honger veau lh Form a Shift of flud + theo intea bi yas 1A COhich wseoliicos Phe bisma 4 fritoea ver culas Frid: Volurre i Nd Aecwecsers / os mak log tca| 4 © Tokanges Prehyoley « ahesahons in pleitelots Cone. f OS eC : Jochon ' : * alle-aahen yy) clo Pr fe chres Pos! Lien Se fa BORN Rory Tealye pena pAyaias ast Plashe Sueqeon Ootrapae lie” strayeon Naases Fsych fortes h La Oe: a pesteny. tenth Diehihon oe Vecabona| Recseq feeme “ e2eapy 4 plearno ~ shes, eee eos 7 cohite skin > Blockoed cers py Nasue. ming slage of shock — C uph 3dlays post buan 4 > Resosi nes, => cya NOSIS Siceatin ‘4 = Pisovtenta hon Thissh Lalas if pale sk Collop sed Yelns ee Bepid pulse oS Ropd izeal ingStax fer mahan clecseased ROM ce f Ainchon. Pain cle fs Ade +sachon 7 Sehs07y he. endings O° Tg wer = fm ourerhon 4 a hms eas oltre Aaa: +r the hands o q — hess 4 incleperclenar — Joss 7 employemanh — Sea! Axyechon 3 fica) ofa e 4 Grshong| Praumeyo transported fron Pro k i nae doanspostahean should be a teabmon! centeo . Beppe an Centre , malay ee mengenty vom ent — Carter) Ves os : Type of oaen Cartes) 4 oy note R.)- 7 GQ non hy lo ov 4 buons Myum Prepor e Ho p? a Pe Cte areas Cenlve bow removing 4 |] busned ¢ t clothing A jecelle a on wt : » ee Pravl ddministaahon “4 lund d bre,ww Oo Oe eee SS OO ee swe v VevVvvs eS : and Bemaining Ya fluicl in nerd 16 Rouny : FORMULA Cn] ; — Colloy -f PSMA, — ploasrng ; ie 36 houses ave chvicked jobs + lewale g 44,4 6,6, 12 Rours Ime IM+enva | g GT ET aaa Cresuscitahon a =. CO X obs ae Om kay an) nihol Estab), L maintain ameay . Poevent cyanosis, shock £ haemorrhooce, d @ Eetablish bas cline clorta on the pt ee extent L oleph y buena Injury @®. Preven! anol clecx ease feud loxs QD Clean +o coound! @O hesey Heo Mfucres , \at can ales be clone if wired . Goals ep coound cleaning a Wiboment cave te memove Lead Mssite, prevent mfechon | promote me Yoxcesla - -zahon or epithelia lizabon : q “the Armee. A lovne Reydoo thes sank or coh! poo! tink col have ae mm Coates dke tnfechon contol. Tem pevaiu> a 4,6 should be Re geccr te ion f (12 S7Ue ~ yore) = “Gere muss bo nko. chile. ceeumeae the Ae. dlvessing s ty Crsuve mio rio Lleeding 5an cia 13k Purulen) _ ovat Decomet, black olacoloueahan , Separa horn J eschas | boile ty eal) een! hss “Sues, ©0 conversion of a oleg ) povhal tnekness buena bo a ful) thickness ” ue : : Open Tech — Fechmigue ieee Y feel ce re Ointment Eouk - oh essing Bosed 725) en er PP a as Ovex te 1a} e pol ae Pu pose e— ont; Mica bi ai ae po Server Sevo,,/ a> my held Hho bopico) on Pe coound. & clecweares flail loss ee a ee ee> ; cba poi ly on. the size — Hype ay oes Ja Ape f ante =p eo | agent used) —~ Consyahs Bh ac ale a sevexa| bes - st a loyes Be Non adherant - protect the fornoile heal suaface UY fro chsmip hen mn L > Ths racy he Colton paddling “leo, dhsovke hae J ' f Douro ediainago ae fra) lay = Oonaysis 4 ell quage . ov Clase bandage c hold he others : Arh backemal coer voce ss.R20URD after Succeachi) ‘es Usel Waugh, “s\n | coeel ol a mene ss Ea Foimarny sitscas eXCIS ION 4 Su hom pee A eachos i eco > Shih gaa oath b - a : og ee : clone close te MUR) , : — Too ohPesent} ee EF. Sk gee W Avroscrerr PP ern skin taken for, ee Lan boned Orta a roars pooted clon Cover a bucned oven. Wis iS Cy : ZeTCCRA ET a Shin is tesiably taleen wom thigh Te ee ee TT TG TT TOE ee 1s ven ohfFbeu)t 4, Fuese eg) Foorn Abelomen =® ALLOGRATT oR HOMOGRAT Skin is token from an q same ae ; Skin. Tha skin Con Skin bank +4 Those ave sulficrenty ¢d an dtulp goa 4 J indy toluo| 1 Cadarves} Cultuzed €picesmal auboers cere Bip Slein opsy obyarned Fav 0 Only epidles ra} cells Gre ~ culbhys " Culhised ullogous corparite opal + — Skin biopsy Ob)ainedsd from pr » woth €picésmal L oleoma) cells culhieed . = lntoyes strchixe 42 Mo gente skin subsdhite -- 4 Epictes mol lewex 4 chin £ all immune Tericved form Cockerre » skis Ms Speed to qealt bed 18 hesed oC 4% Prry eprdesrma J Chute cee | RW apphed ; al Gituced dleorms " 4 wm yo {(weseguueuveegeuueeere ey Jem poroas y Wa, Culhroed eam, Aetinitive ‘ © sheet Crarz ual Ash, graft trod js phect Fo a Reet bed coor) altesahGdkan )rrited oclonor ski ae aveine able ‘ mosk Ane cove red wih qa mesh stro mea seep Jaw ces. sc tre | opera FP conasishy i ommae paral mokes heat coat Men ting poral! facjgions A ane eae orvrangemen! iis process peomls +he sho ee expancles! bekrse 14 gpa ppved Ben pooUnd bed. TAY Bic. Pxs CONC — cand once the oye ce, heals thro tag h we.Fa stow wed fn ee pele ae : SOOPKed ooh 4 ol eomatome, Common Aonos sites Includes. the hg balck s SE baok Thase j : ij W024 @ WOU Kinehe ve-ephaha le ee Ike og Paha) thickness buen Gnee eam COG Hive * ee OPPPO nla hee Caden eh, peevent addihona! ey ina} CMAs fooma hon 2 Clomega S vesultemt+ Cenowlly , The thinness _ the skin Bea tho better adherence A Joo Mioher he slein Opa Pa _ beHex the Cosmehe 203 I} — sphk Ahicknes skin os Spidleomis £ sy per feral] ee A clesm)y. Ay) riguiic, eleyn qeatt fell eleemal Hiiclenersen meg tf > > Survival eo 2 Severg| faclov: . | 1) Ciecalahon fo nutaihen 2) fisocess by cohich a olux Comyechon is eatabliched ME Josh Vescel: Q { ) Penenlsabon of Post easels) he 6 grays site + T IC nace) | d —4- cy ah com j by Inter pos NOG Nx¢ | lac a }yn of $ ting Kar, § goon 4 ‘ Pair owe Severe Conlanehyre, a i \ 7 i ox LS NANTRECT LIN 9 Revert Or Incistont 27 PLASTY:Assessment Soe Fomine an of -tuan © * 72a] boty suaface 9eea CrBsAY involved ©. pk alerh hy ©. Pence 7. Oe RM choral O- Codema '™Paltemo nf Nr enthey bon f hrolos | t : Oe Active Passive Rom, Assezezynon} : ; @ ° fence 4 choy e > Oo Qnbsachyre forrshor > © 0 SA2 trsirg goo mah, . ge . © o Skin Inte 2 3 ; > ‘ ae > Bch yne for ih mots bby slsengh., Furchoro| > obyhty rartnaly -—% know Pe qnosis G le. , toa chyoe Prevenhon of scar eon Poevenhon 4 dle fowmty Rorrahon @ @ KorReo ling oe Pe picohon of buyers + paapaton) comphiea hons | Mee eelhon of oedema 4 pa vsually are Main geal PT Tine f a , Achyvo hil ‘ ! ty AOC ease Choire, massage 4 bona J c9i)) aasish 2 ~ minione wihon A Phe7 Beans . e Sahonng £_ splin : E splintino :- Feole Soy '"™MI12@ edema > Pos SED eng Mae = Hoban ' COPE Fes | ’ = Raboning aoe elongated state oe => ohh Ke Presrty pesihon of berhey ee pt - BoC wae positon: “oF i comenchre ge Yeqom Tha pesthon 4 waet Peek should Lal In ank. : AON Cont wachere _ pesilion je expense N. In extension , smal) ol] Ana ue J} under neck cee pillow Under Ci a } shouldex s owe —? Chest busns AA ee ee ee ee ee OO A seit moy be In on 9 O ee oO s a 0 g retracted. (Wee abduched to 90° 7 eral ouons im » Neck? extension.In extension poshon, 4 SeenS tppes mk is trvolvecl elevahen Dink Reon over 90° (1 me limbs © — ~~ ¢ and sh grt_fleron : Beeiipo covet in exten s PICP soints nn J . > Loe» Vas olen DO ce ae . bp in extenbion ene sae - knee = & arneve 16 extension Fe aos dozeiflenis an cia bed fre yl plow Pp ced! uneb Deenoe, — [7° ny Hee - Resinas —~ shoula Ge Hone 19 ooh oe : @s ™menhoned 1» ae ve > > Splnk ay hie: slahe oo orice. 4 > Indcohons foo eas AS » ReVenhen of contoachive | F Maintain Rom > wy Gmechon f dleftsrmi her. . I> Peotechon of | Joints 4 tendon - » usua || Ove 9 opn- at nigh ; pi is teatime oe contin aal J foo sexesal lh es Pllocoma skin i= F => Cove mush tha bt Bel Wake, 4 ho prersuve OISTS = te aa eeakhown 1n heol suse Catsee a & Hs « & Skin. tnt be avoided _ Checked woutine| eee re SY) ee Preepes Ft £ vevised Slahe sphinks movokrins | Nb. Com poeasjon Spats should be 1f Bae) “ - a a pesthon oOq jon: - Apphes ha-load, poolorged 3 sons fo} Can de adjusted occ. te pls ta leacmce ¢ polenta Ny he hb ee developma _conteaichy 1 . of active nchon in ar buns He , ar ernest) a nalG Tt main Ali , : é ; } ao Wnrgo Arenrs, : ‘ ‘ cfleop been} ng < ! | Seqmentay ' : 2 ‘ —i Coughing 4 a is angcheol 51 Qkino Can he isede2suze on chest lacs | SEE foars og be used under honck ~) tp ; oad Neck luong tole 4 = cial ceobsing fs present. Pa Bone ON co acral bu Ons Dips is conkeainchcaled b eeu oo sick ory “Ze In ch ‘Hholaka, oN), awe can in 3) Achve -L Iexcicc soe h, ee ee oe es heele ef al) extoemibes trink 4 eo Unbu sn eof Bren. > Ze aectve ex is nok possible Shier PROM ex achive. 2A8SIsled meg} we ee, be 3 fer foomed . : CPM cor, Le Re ee 1s eects See Sele Used IN azed 0is © boone! be a Active Rane discontinued geathing 5 alloza Aho Ep Gx a — Resiste #see Rae ven! Joss aerobic TA Ipevecsee encou’ ed A Passive Ex foainir pul hy pom sil tout pe should fees =te obo the should be ; Ve ie slcinetie < Ambulahon should be niber Seely a Possible . Se Clo Cowen r Lirn b skin Grating ,ambulahom May be Aacont ruse! unt] it is sate d te vesyy ne. | COhen “Gmbulahon mihalked tre lowes extembhes Should be compel In Clothe ) Paneliages hog fgare of. "gt ahesn , —~ <_pa 3 “a Sport Pike New geatt Zt prom ole ‘ TK Yenpun oehvon . » Bp) conroh Sonate “pight Posihon because 4 oalrostthe tobe) VIR we or per pen Foor ZL In 2n oben f posthon, ees ny tH. LH Table Inika Jez eo : Bed , pr ma FHM AIS VE Chevic, ‘ ean be© Scan MPNAGEMENT :— | Seer = ws tre boclys nehiral coor of ¢ ¢ Realing ono! aap vOLNG fort oO Bare skin BS gz 2 Ze wend Reals 2 weoks — Ca aeeng et Untiseoty S J 2 7 J d SS ir p? ee Ln Ged ; , not achie Pron thore 2! er Ip : 0 => Chanactersahe of cor . vouall, coms J collagen d - May cppeon ¢ pong! ov Aeht | « cans 4 die to wenger 2 = oa ze ‘ jn_fto’ / Fis, stat Y 2 1 - Nay appear cena ober on becky d fi d d *. Jeo much scene Heeuie interteses a fur cho t vound Rei © kehid Scar Chacacterishe i . ° Thick , muncled , 190 joe eee Star _tusue that quowos at sihe a COUR) oh. ein, Cur peyord ectges the bootlew qd the wo le Ketoid eeeur cohen Pha booty continue + produce tho gorge, Bhoouy peoteln JeIn 0a college offes a coourol ~kay Realeal ’ Hay appece ony where byt commen Oves coblarkones, on eazlobeo f choulole., * Plove in chy Cherokees - skinned people. p> SMO > eee JU ee eC CO we Se eeSoa 1s fo en Press, ee. poeery. eee ap, 4 sco7 ie be wom ey dL rN for op Fo b= 6 mls, > Steger - wad taeda Aamonve) of hone ef wicls , t rol yee IONS i ) | sessing £ banolleao | y 4 aiused sor keeloiel byt 1 aigina) cooun dO. - Offen conherec @ keloref=_~seewvswe ee esVeEeeseTeeTeTeseeseeeegeese eee ECE. ay slerls. hy dlevelop Cin” ees after juny Doorman IDOE Aroally but tales to a ee ea i ve nd/vecd a zu 1 ae Yyeoo 00 nrose Tce Ie a iy Mrs mae INJechon ox boy dreeck appheahon semova] , In the Loss Aa Ney foom a sco skin —tegetnes ? prtescls Aa Se @®~ wre} : om sk In va ap = Ts Ae Spansion Bch nigure New foc}, & Involves yn eS) tre ad exrehng “hese ovata ble fo n tmichon a Used! in oddihon Type 4 Sstauv Assire Moxy Cavure complica ton, ry Auz ? 74 e temay exes} “trophic Pare by = Tanning tha oleorns a Aitewing te brometh bio chemi ao/ Shuchise “af aod Mos i ee aseg os oe re collagen bund las ne conten f FY Hsia , = Gniact preasuse alvewiig | Seas tissue or Jorments pa pressuse exce Buon oes w, Adult eros GPR