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3 Burn Management

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Burn Management By: Dr. Mohamed Makboul, MD Lecturer of Plastic Surgery Faculty of Medicine – Assiut University
Definition: ,[object Object],Aetiology: ,[object Object],[object Object]
Physical agents: ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Electrical burn: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Chemical agents: ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Burn Depth: ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
According to the depth of burn, the burn is classified into 4 degrees: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Burn Surface Area: ,[object Object],[object Object],[object Object],[object Object]
The Rule of Nines 1% Perineum 9% Each leg and foot 9% Each thigh 9% Abdomen anterior and posterior each 9% Chest anterior and posterior each 9% Each upper limb 9% Head and neck
[object Object],[object Object],[object Object],[object Object]
Burn Shock: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resuscitation Fluid Therapy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resuscitation formulas: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring resuscitation ,[object Object],[object Object],[object Object]
Indications for extra fluid administration:
Pathophysiology of burn injury: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Severity of Burn:
Inhalational Injury: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Signs of Inhalational Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Mortality >50% >60 Hallucination, combativeness, coma, and shock 40–60 Disorientation, fatigue, nausea, and visual changes 20–40 Headache, confusion 10–20 None 0–10 Symptoms Percentage of CO in Hemoglobin
[object Object],[object Object],[object Object]
Treatment of Inhalational Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Admission:
Complications of Burns: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Complications of Burns (Cont.):
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of Burns: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wound care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Escharotomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Surgical management: ,[object Object],[object Object],[object Object],[object Object]
Surgical debridement: ,[object Object],[object Object],[object Object],[object Object]
Wound closure ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Donor site ,[object Object],[object Object]
Donor site ,[object Object],[object Object]
Alloderm [newer product] ,[object Object]
 

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3 Burn Management

  • 1. Burn Management By: Dr. Mohamed Makboul, MD Lecturer of Plastic Surgery Faculty of Medicine – Assiut University
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  • 19. The Rule of Nines 1% Perineum 9% Each leg and foot 9% Each thigh 9% Abdomen anterior and posterior each 9% Chest anterior and posterior each 9% Each upper limb 9% Head and neck
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  • 28. Indications for extra fluid administration:
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