Table of contents

• Topic: Burns
• Level: Best treatment
• Pre-hospital management
• Key points
What to do in the first hours after the injury
• Hemodynamic Stability
Fluid Resuscitation
Monitoring Guidelines
• Management of burns
General principles of management
Airway
Breathing
Circulation
• Minor burns
General Considerations
A. First-degree burns
B. Partial thickness or second degree burns
C. Third degree (full thickness burn)
• Thermal burn treatment
Clinical Findings
Treatment
Disposition
Hot water (superficial to mid 2nd degree) treatment
Mid to deep partial thickness burn due to flash exposure treatment
Mid to deep 2nd burn to critical area treatment
Mixed deep dermal and full thickness treatment
Third degree flame burn treatment
• Chemical burns
Mechanisms of Action
Chemical Classes
• Electrical burns
First aid for electrical burns
Terminology
• Smoke inhalation
Essentials of Diagnosis
Mechanisms of Injury
Clinical Findings
Treatment
Indication for endotracheal intubation
Monitoring of pulmonary function
Adequacy of ventilation
Diagnosis and treatment of carbon monoxide and cyanide toxicity
• Tar burns
General Considerations
Treatment
Disposition
• Sunburn
General Considerations
Clinical Findings
Treatment
Disposition
• Ocular burns
Essentials of Diagnosis
General Considerations
Clinical Findings
Treatment
Disposition
• Ultraviolet burns
Clinical Findings
Treatment
Disposition
• Circumferential burns
General Considerations
Clinical Findings
Treatment
Disposition
• Child abuse burns
Essentials of Diagnosis
General Considerations
Clinical Findings
Treatment & Disposition
• Hospital management
• Pain management
• Burn wound
Initial wound assessment and management
A. Partial thickness or second degree burn
B. Full Thickness (Third Degree Burn)
• Plastic surgery
Skin graft surgery
Immediately after the operation
Possible side effects and complications
Taking care of yourself at home
Long term outlook
• Fluid resuscitation
Systematic Hemodynamic Changes
Cardiovascular Changes
Rate of Infusion
Common Pitfalls In Initial Fluid Resuscitation
Other necessary procedures
• Referral to regional burns unit
• Introduction
• Definition
The following types of burn injuries usually require referral to a burn center:
• Transfer procedure
Indications for Patient Transfer
How to transfer