Burns.pdf

Burns: Pathophysiology, Epidemiology, Evaluation, Complications and management BY DR AI ABUBAKAR DEFINITION COAGULATIVE NECROSIS OF THE TISSUES. COAGULATIVE NECROSIS IS THE MOST COMMON PATTERN OF NECROSIS CHARACTERIZED BY DENATURATION OF CYTOPLASMIC PROTEINS, CELLULAR SWELL...

Burns: Pathophysiology, Epidemiology, Evaluation, Complications and management BY DR AI ABUBAKAR DEFINITION COAGULATIVE NECROSIS OF THE TISSUES. COAGULATIVE NECROSIS IS THE MOST COMMON PATTERN OF NECROSIS CHARACTERIZED BY DENATURATION OF CYTOPLASMIC PROTEINS, CELLULAR SWELLING AND BREAKDOWN OF CELLULAR ORGANELLS. CAUSES THERMAL-WET DRY CHEMICALS ACID ALKALI COLD IRRADIATION ELECTRICAL PATHOPHYSIOLOGY LOSS OF EPITHELIAL COVER FLUID LOSS- SHOCK AND RENAL FAILURE LOSS OF PROTECTION FROM PATHOGENS DAMAGE TO UNDERLYING STRUCTURES-BLD VESSELS NERVES MUSCLES BONE CLASSIFICATION DEPTH PARTIAL THICKNESS-SUPERFICIAL DEEP FULL THICKNESS PERCENTAGE BODY SURFACE AREA WALLACES RULE OF NINE LUND AND BRODERS PALM RULE MANAGEMENT HISTORY-TIME OF BURN CONTACT TIME LOCATION-?ENCLOSED FIRST AID EXAMINATION- FACIAL BURNS SOOTY COUGH SINGING OF NASAL HAIR TBSA DEPTH RESCUSITATION FLUIDS - FORMULA- PARKLAND(4X TBSAX WT) MUIRS AND BARKLEY MONITORING- URINARY CATHETER BLD PRESS TEMP PULSE INVESTIGATION- FBC UREA AND ELECTROLYTES MCS ADMISSION(ideally in a burn unit) BURN TO SPECIAL AREAS-FACE,HANDS AND FEET,PERINIUM ADULTS- FTB > 10% PTB > 15% CHILDREN FTB >5% PTB >7.5% CMEMICAL BURNS ELECTRICAL BURNS TREATMENT FLUIDS- RINGERS LACTATE ANTIBIOTICS ANALGESIA VITAMINS DRESSINGS NUTRITION PHYSIOTHERAPY COMPLICATIONS INFECTION CONTRACTURE PSYCHOLOGICAL DISFIGURMENT SCARRING DEATH