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Burn ppt Dr Neha Jadhav

Explanation of Burns in short

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Burn ppt Dr Neha Jadhav

  1. 1. BURNS 1
  2. 2. Defination : • Burns - Wound characterized by coagulative necrosis of skin & underlying tissues.
  3. 3. TYPES OF BURNS BASED ON CAUSE ORDINARY SCALDS ELECTRIC BURNS CHEMICAL BURNS RADIATION BURNS COLD BURNS
  4. 4. ORDINARY BURN SCALDS
  5. 5. TYPES OF COLD BURNS
  6. 6. FROSTBITE
  7. 7. PATHOLOGY OF BURNS LOCAL Severity of burn Extent Of Burn Vascular changes Infection SYSTEMIC Shock Biochemical Changes Changes in Blood Systemic lesions
  8. 8. Pathophysiology : Burns ( coagulative necrosis) Cellular injury & inflammation Release of vasoactive substances Increased capillary permeability Edema Burns shock Blister formation Hypovolemia Blood flow diversion Ischemia Renal GI mucosal necrosis ARF Curling’s ulcers
  9. 9. SEVERITY OF BURNS
  10. 10. ESTIMATE EXTENT OF BURN
  11. 11. Degree of Burn 1st Degree 2nd Degree Partial Thickness 2nd Degree Deep Burns 3rd Degree 4th Degree Involvement Epidermis Epidermis + Dermis E+ D E+D+Subcut tissue E+D+S+muscles , tendons & bone Appearance Symptoms & Signs Pain ++ Pain ++++ Painful -less severe Painless,insensi tive, Severe Edema No Edema Healing 3-5 days , spontaneous No Scarring 2 weeks, min scarring, minimal discolouration 2-6 weeks Hypertrophic scarring / formation of contractures No spontaneous healing No spontaneous healing
  12. 12. Degree of Burn 1st Degree 2nd Degree Partial Thickness 2nd Degree Deep Burns 3rd Degree 4th Degree Involvement Epidermis Epidermis + Dermis E+ D E+D+Subcut tissue E+D+S+muscle s, tendons & bone Appearance Red to Pink Dry, No Blisters Red to pink, Wet and weeping wounds Thin-walled, fluid-filled blisters Mottled: Red, pink, or white area Moist Dry, leathery & rigid, Eschar (hard and in- elastic) Red, white, yellow or black Black (dry, dull and charred) Eschar tissue: hard, inelastic Symptoms & Signs Pain ++ Pain ++++ Painful -less severe Painless & insensitive to palpation, Severe Edema No Edema Healing 3-5 days , spontaneou s No Scarring 2 weeks, min scarring, minimal discolouration 2-6 weeks Hypertrophic scarring / formation of contractures No spontaneous healing No spontaneous healing
  13. 13. TREATMENT Treatment of Shock 1) Sedation 2) Fluid Resuscitation 3) Maintenance of Airway General Treatment 1) Escharotomy and Fasciotomy 2) Tetanus Prophylaxis 3) Antibiotics 4) Nutritional Support 5) Gastric decompressio 6) Treatment of GI complication Local Treatment 1) First aid measures 2) Burn Wound care 3) Skin grafting 4) Physical therapy and Rehabilitation
  14. 14. COMPLICATION OF THERMAL BURNS Curling Ulcer Acute Pancreatitis Acute Acalculous Cholecystitis Superior Mesenteric Artery Syndrome Non Occlusive Ischemic Enterocolitis Myocardial Infarct

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