Skill Station : Bringing Theory to Real Life Practice

BURN WOUND
TYPES, SYMPTOMS &
TREATMENT
 SKILL STATION INTRODUCTION
VIDEO
 BURN

A burn is an injury to the

skin or other organic tissue

Thermal Electricity Chemicals Radiation

 BURN
• Epidemiology  An estimated 265
000 deaths occur each year from
fires alone
 TYPE OF BURNS
ZONES
 TYPE OF BURNS
DEPTH
 TYPE OF BURNS

DEPTH

EXTEND
SEVERITY
CAUSE

OTHER FACTOR
 EXTEND
E.ltlm•llng the burned surface •rea In •dulta Eltlm•tlng the burned surtace area In children
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 SEVERITY OF BURNS
• 2nd degree adult burns <15% TBSA
MINOR • 2nd degree child burns <10% TBSA
• 3rd degree child or adult burns <2% TBSA

• 2nd degree adult burns 15-25% TBSA

MODERATE • 2nd degree child burns 10-20% TBSA
• 3rd degree child or adult burns 2-10% TBSA

• In adults, 2nd degree burns >25% TBSA

• In children, 2nd degree burns > 20% TBSA
• 3rd degree burns >10% in an adult or a child
• Inhalation injury, Electrical or Chemical burn
MAJOR • Burns with concomitant additional trauma, pregnancy
or co-morbidities adding significant risk to burns
• Burns of the eye, ear, face, hand, foot, major joint and
genitalia
 TYPE OF BURNS
PHASES

ACUTE SUB-ACUTE REHABILITATION

 SYMPTOMS

Grade 1 Grade 2A Grade 2B Grade 3

• Epidermis • Dermis above • Dermis below • Whole skin
• Red papillary dermis papillary dermis • White or black
• Supple • Red below the • Red–white below • Hard thick dry
• No blister the blister • No
bleeding • Humid • Medium hard • No pain
• Painful • High • Moderate • Needs skin
• No wound • Extremely painful • Painful replacement(graft,
• No scar • Less than 2 weeks • Within three to flap)
• No scar four • Notable scar
weeks. Sometimes, formation and
needs skin graft contractures
• Notable scar
formation and
contractures
 TREATMENT

CALL

COVER

COOL

STOP
 TREATMENT
P
R
Airway
I Patency, Cervical spine
control, Inhalation injury
M
Breathing
A
R Mechanical restriction,
Contusion, CO & Ventilation
Y
Circulation
S Pulse, BP, Haemorrhage,
U Venous acces
R
Disability
V AVPU, Pupil
E
Y Exposure/Environment
Examined including the back,
Hypothermic
 TREATMENT
Fluid Resuscitation
• Greater than 20%TBSA
• Crystalloid 3 ml/kgbw/%TBSA during the first 24 hr

Analgesia
• Morphine 0,05-0,1 mg/kg

Tubes
• Urinary Catheter
• Nasogastic
Tubes
Tests
• X-Ray, ECG
• Laboratory
 TREATMENT
S
E
C
O
A • Allergies

N
D M • Medications
A
R • Past illnesses
Y
P • Last meal
S
U L • Events/environment
R
Head To Toe Examination
V
E
E
Y
 TREATMENT

Documentation
Tetanus Support
& Transfer
TREATMENT
BURN WOUND TREATMENT

TIM E
MOISTURE
BALANCE

EPITHELIAL
INFECTION/IN
ADVANCEMENT
FLAMMATION
/ EDGE
CONTROL

TISSUE
MANAGEME
NT
 BURN WOUND TREATMENT

T I M E
• Tissue • Infection/Infl • Moisture • Epithelial
Management ammation Balance advancement/
• Debridement Control • Petroleum Edge
• Cleanse & gauze, dry • Healthy
antibiotic gauze/Abso wound edge
cream (SSD) r
bent
BURN WOUND TREATMENT
BURN WOUND TREATMENT
LETS PRACTICE
 REFERENCES
• ABC of burns Pathophysiology and types of
• burns
• Color Atlas of Burn Reconstructive Surgery
• Emergency Management of Severe Burns ANZBA
• Management of Burns WHO
• Neligan Plastic Surgery
Photo courtesy of dr.Alivol.4
Sundoro Sp.BP-RE(K)
• www.smith-nephew.com
• ...
THANK YOU