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Learn about burn injuries, treatment, nutrition, and complications. Understand the Rule of Nine for assessing burn severity and the importance of proper measurement. Practice scenarios and key sources included.
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BURN • Injury to flesh caused by heat, electricity, chemical, light, radiation or friction. • First 48 hours are the most critical! • Challenges!
Treatment • Dermabrasion • Skin Grafts • Split thickness, Full thickness, composite graft • Using Cadaver skins or animal skin • Cultured Skin • Artificial skins are temporary, thinner skin graft can be used.
Nutrition • Essential for the recovery period of the patient • Increase Protein intake is to provide material needed to synthesize lost tissue • Carbohybrates • Fats
Complications • Infection • Acute Gastrointestinal Ulcers • Seizures in Children (abnormal electrolyte levels) • Pneumonia • Pulmonary Edema • Respiratory Problems from inhalation of soot
What is the Rule of Nine? • Estimate the body surface area on adult that has been burned • Dividing body sections by a factor of 9% • First step in assessing a burn and planning resuscitation • Quick way to determine if victim needs to go to specialized burn centers.
Why do we need the Rule of Nine? • Measuring the size of a burn is difficult! • Every person is different • A square foot of burned surface area is much worse for a 130 pound person than a 200 pound person.
Sources • http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1355533/ • http://www.medcastle.com/burns-rule-of-nines.html • http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=1077629 • http://firstaid.about.com/od/softtissueinjuries/a/07_severe_burns.htmhttp://www.burnsurvivor.com/burn_types.html • http://www.medicinenet.com/burns/article.htm • http://uuhsc.utah.edu/burncenter/emergencycare/treatment.html