Direct exposure to the heat source causes cellular destructionMay result in charring of vascular, bony, muscle, and nervous tissue Stop the Burn Stop Drop and Roll oExtinguish Cool lavage oNO ICE oChemical burns Direct contact between skin and certain acid, alkaline, and organic compoundsDrain cleaners, bleach, lye, ammonia, oven cleaners, toilet bowel cleaners,dishwasher detergents Destruction to proteins cause necrosis Acids Produce burns via tissue coagulation Alkaline Produce burns via liquefaction necrosis More difficult to neutralize Tend to be deeper and more severe Organic compounds Produce burns by dissolving the cells lipid membranes Causative agents may trigger renal and liver failure if absorbed At Risk Children Occupation oNurses
oAnyone working with chemicals Stop the Burn Remove the cause Refer to how to treat via chemical guide Remove clothes Shower oHousehold Electrical burns Electricity follows the path of least resistance Tends to lie among muscles, bone, blood vessels, and nerves Could take weeks after initial burn to tell the full extent of injury Entry and Exit wounds Tissue necrosis results from impaired blood flow secondary to blood coagulation at the site of an electrical injury May develop gangrene if necrosis is severe oAmputation is then needed The higher the voltage the more injury Alternating Current Produces repeated electrical surges that lead to tetanic muscle contractionsoInhibit respiratory efforts for the duration of the contact oMay result in respiratory distress oMay cause the individual to clamp down on the power source Increasing the duration of contact At Risk Occupation oElectrician Children Older adults Stop the Burn Use a nonconductive piece of equipment oWooden broomstick Stop the current Safety of the rescuer oHigh Voltage Electrical burns Electricity follows the path of least resistance Tends to lie among muscles, bone, blood vessels, and nerves Could take weeks after initial burn to tell the full extent of injury Entry and Exit wounds May not always be clear Tissue necrosis results from impaired blood flow secondary to blood coagulation at the site of an electrical injury May develop gangrene if necrosis is severe oAmputation is then needed
Direct current Exposes the body to a very high voltage for an instant High voltage lightening strikes oFlashover effect The lightening bolt flashes over the body The current traveling over the moist surface of the skin rather than through deeper structures Often saves the individual from deathoMay experience instantaneous cardiopulmonary arrest oOther outcomes Brain injury Resulting in loss of consciousness or coma Injuries to the eyes and ears Temporary paralysis Nerve damage Burns from metal jewelry or coins Many who survive have no memory of the event o
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- Spring '19