OVERVIEW IN OVERVIEW IN MANAGEMENT OF BURN MANAGEMENT OF BURN

PATIENTSPATIENTS

Apichart Ploysangwal

Department of Surgery

Bhumibol Adulyadej Hospital

Studying Topics• First aid

• Estimation of depth and extent of burn wound

• Fluid resuscitation

• Burn wound management

• Detection of burn wound sepsis

• Burn wound coverage

• Some specific procedures and complication

Types of Burn Injuries

• Scald/hot liquid

• Flame

• Hot object/contact

• Electrical

• Chemical

Superficial

• Involves only the epidermis (i.e. sunburn)

• Erythema

• Pink, red, usually dry

• Resolution time 3-5 days

• Sunburn or flash burn

Partial-Thickness…..Deep

• Involves all of the epidermis & part of the dermis

• Waxy white, some pink, less moisture

• Decreased sensation

• Minimal pain

• Hair follicles may or may not be intact

• Resolution time 4-6 weeks

Fluid Resuscitation

Chemical InjuriesChemical Injuries• Remove all contaminated

clothing• Immediately flush the

body with copious amounts of water.(Brush dry powder from the body prior to flushing)

• Continuous eye irrigation until seen by a MD

• Do not delay treatment• Neutralization is

contraindicated

• Remove all contaminated clothing

• Immediately flush the body with copious amounts of water.(Brush dry powder from the body prior to flushing)

• Continuous eye irrigation until seen by a MD

• Do not delay treatment• Neutralization is

contraindicated

Studying Topics• First aid

• Estimation of depth and extent of burn wound

• Fluid resuscitation

• Burn wound management

• Detection of burn wound sepsis

• Burn wound coverage

• Some specific procedures and complication