Student Thermal.pptx - Thermal Injuries Overview of Burn Injury • Incidence of burn injury in the United States • During a lifetime everyone can

Student Thermal.pptx - Thermal Injuries Overview of Burn...

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Thermal Injuries
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Overview of Burn Injury Incidence of burn injury in the United States During a lifetime everyone can expect to have some sort of burn injury Approximately 450,000 people are treated annually (10% are hospitalized) Prolonged hospitalizations Surgical intervention Pain control needs Immobilization and rehabilitation Intravenous antibiotics and fluid resuscitation Wound management. Smoke inhalation injuries/ electrical injuries.
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The significance of the burn determines the outcome. Total body surface area burned. The depth/stage of the burn. The presence of an inhalation injury Advanced age and co-morbidities (60 and above) Most common complication is pneumonia. The major cause of death: Sepsis and MODS .
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Sources of burn injury Scald injury particularly involving children Heat injury Contact injury Chemical, electrical, moist heat, radiation. Fire Grease, tar Inhalation injury Home lighting
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Prevention of burns in the elderly population Providing education Nurses need to accurately determine a patients ADL ability. The role of alcohol and cigarettes. Smoke detectors, carbon monoxide alarms, safer appliances Child resistant lighters and sprinkler systems.
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Severity of a burn is based on…. Age Depth BSA Inhallation Location: Face, hands, feet, perineum. PMHx.
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Methods to determine BSA #1 Rule of nines Most common method used. Allows for quick estimates of body surface area effected
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The two other methods of determining BSA burns. Lund and Brower Method More precise Divides the body into very small areas Relates burned areas to the age of the patient. Palmer method Useful with scattered burns The size of the patients hand and fingers are used (approximately 1%)
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Pathophysiology: Three Zones of injury Zone of coagulation Zone of stasis Zone of hyperemia
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Local and systemic responses
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