Heparin-​associated

thrombocytopenia

Ventilato-​associated
pneumonia

Significant problem in burned

patients

Hypertrophic Scar

Interventions

Treatment: Related Morbidity Post Injury pneumonia Elevating the head

Pruritus
Maintain oral
Laser-​based Nonsurgical therapies Patients with inhalation injury hygiene and
erythema
pulmonary toilet
CO2 laser Compression garments Pain

Pulsed Dye laser Silicone gel

Interventions
Protection of facial
COMPLICATIONS Subglottic Stenosis
Massage skin grafts

Corticosteroid Do not perform

tracheostomy in the
presence of eschar
REHABILITATION Surgery
Contractures LATE COMPLICATION

Use beside
percutaneous
integral part of the clinical
tracheostomy
care plan Surgeon should Surgeon should
Treatment Factors
anticipate the perform frequent NUTRITION
Heterotrophic compartment neurovascular
Nonsurgical Burn depth CLassification syndrome evaluations Abdominal compartment Interventions
Minimizing fluid
syndrome calculating appropriate
Physical and occupational Passive range-​of-​motion
Pressure garments Activation caloric needs
therapy exercises 2x/day

Spirits Massive resuscitation of burned Perform torso

dermal fibroblast Treatment Risk factors Parenthesias patients
Elevate affected extremity to Maintain fulll range of motion escharotomies
Contracture excision
Myofibroblast minimize swelling Non-​burned patients In burns of <40% TBSA
NSAIDS >30% BSA
Fibrocytes Pain Decrease tidal
walk independently without Increased airway pressure
Bisphosphonates Arm burns/grafts volumes Current formula
Helper T cells
crutches
Decreased capillary Harris-​Benedict equation Indirect calorimetry
Radiation Therapy Ventilator days refill
Tight- fitting pressure garments
Hypoventilation Chemical paralysis
Surgical excision trip to operating room Estimates caloric
Loss of distal needs to be 25
pulses kcal/kg/day plus 40
kcal% TBSA/day
Decreased urine Decreased urine output
output
5E’s PREVENTION

Increased
ventilator airway Hemodynamic compromise
TREATMENT
Engineering/Environment pressures
Group 14
Rivera, Rosemarie enforcement
3 Levels BURN DISASTERS Hypotension
Salvado, Chemar May
Education
Sarayno, Andrea Interventions
Institutional
Deep Vein Thrombosis Heparin prophylaxis Silver Sulfadiazine Mafenide Acetate Silver Nitrate Silver- impregnated Dressings
Sedigo, Kathleen Mae Emerging response
Senarlo, Chique Interfacility Advantages Disadvantages Advantages Disadvantages Advantages Disadvantages Advantages Disadvantages
Eonomic Initiave
Interstate
Most widely used in clinical Broad-​spectrum antimicrobial Used for donor sites, skin grafts Limits serial wound
Neutropenia Either in cream of solution form Carbonic anhydrase inhibitor Hyponatremia

BURNS
practice activity and partial thickness burns examinations
PSYCHOLOGICAL
Factors
RECOVERY
Prophylaxis against Wide ranged antimicrobial Effective even in presence of Potential to avoid daily dressing
Destruction of skin grafts Inexpensive Black stains
gender burn wound activity eschar changes

Extraversion
Used in treating and preventing
Inexpensive Retard epithelial migration Laundry costs Comfortable for patient
Alcohol use wound infections

Event as disaster or
nondisaster Easily applied Carbonic anhydrase inhibitor Shorten hospital length of stay

Before:
Carried for poor
Easily applied
prognosis

Now: Background Soothing quality

Survival expectation
with advances in
FR/advent of early Minimal metabolic
excision derangements

Initial Evaluation INHALATION

Classification Depth PROGNOSIS RESUSCITATION INJURY

Priorities of all
Four Assessments
Trauma Chemical Electrical Thermal First degree Second degree Third degree Fourth degree Fifth degree Sixth degree
Risk factors for Burn Impact to quality of Common Bronchoscopy
Continuation of fluid Smoke inhalation Physiologic effects Supportive Treatment
Mortality life Formula Management findings
volumes depend on Complication
Primary Secondary Airway Through muscle
Cardiac Superficial Partial thickness Full thickness Affect soft tissue Charring bone Carbon deposits
management Flame to bone Age Appearance Abdominal nebulized Albuterol
Lactated Ringers Decreases lung
arrhythmia
Result in severe Time since injury compartment compliance
causes injury in 2 ways
burns most common syndrome Erythema
Large-​bone When history of Dermal
Evaluation of Painful Painless Less common nebulized
peripheral IV and mechanical trauma involvement Burn size Mobility
other injuries Contact Extremity Colloid Inhalation of Increases airway Nacetylcysteine
fluid resuscitation (ex. motor vehicle Compartment Parkland or Baxter American Burn Association Direct heat to upper Edema
highest mortality compartment combustion products resistance work of
collision syndrome (3 to 4 mL/kg/ % burn of (2 mL/kg/ % burn of Urine Output airway
Extremely painful syndrome into lower airways breathing
Acid results to Leathery Lactated Ringers) Lactated Ringers) Bronchorrhea
Estimation of burn Do not blister Inhalation injury Functional status High-​dose ascorbic aerosolized heparin
coagulation
Larger than 40% size related to acid
necrosis Scald Intraocular Increases overall
TBSA-2 large-​bore Px with acute burn structural fires Weeping and Mean Arterial Hemorrhagic
compartment metabolic demands aerosolized Tissue
IVs injury blisters Non-​blanching African American Pressure (MAP) appearance
syndrome Plasminogen
Hydrochloric Ability to work Plasmapheresis
race Direct mucosal injury activator
acid Airway swelling Increased fluid
Zone of stasis
Diagnosis of CO Zone of Pleural effusions requirement
CVA and IOA when Radiology studies in coagulation aerosolized
and cyanosis Alkali results to Female Itching
peripheral IV ICU (X-​rays) Ultrasound Mucosal sloughing recombinant human
poisoning liquefactive
cannot be obtained antithrombin
necrosis calcium-​ Management:
based Excision Treatment in urban
Injuries from jump therapy Skin grafting private hospitals 3 common heart Edema intrabronchial
Maximal edema in
or fall views surfactant
first 24-48 hours
IOA for pedia px
when CVA cannot Reactive
be obtained Initial therapy: Parasternal long inhaled nitric oxide
bronchoconstriction
No prophylactic Removal of toxic axis
antibiotics for ABI subs. 30 min
irrigation with
Parasternal short Obstruction of lower
water
axis airways
Problems
encountered

Apical fourchamber

Hypothermia

Anxiety