Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revision Previous revision
Next revision
Previous revision
group_5_presentation_1_-_thermal_injuries [2017/02/03 23:50]
joshid6
group_5_presentation_1_-_thermal_injuries [2018/01/25 15:18] (current)
Line 102: Line 102:
 Physician conducts a thorough patient evaluation which includes getting a detailed description of the event that caused the thermal injury, any associated trauma that they may have acquired and pre-existing health conditions that they have. Physician will also ask whether they are having trouble breathing or are feeling pain anywhere else. In addition, he/she will ask whether the patient had lost consciousness at any point - this is a sign for potential inhalation injury (Alharbi et al, 2012). ​ Physician conducts a thorough patient evaluation which includes getting a detailed description of the event that caused the thermal injury, any associated trauma that they may have acquired and pre-existing health conditions that they have. Physician will also ask whether they are having trouble breathing or are feeling pain anywhere else. In addition, he/she will ask whether the patient had lost consciousness at any point - this is a sign for potential inhalation injury (Alharbi et al, 2012). ​
  
-There are two surveys that are conducted. The Primary Survey looks at A.B.C.D.E.F,​ which stands for Airway, Breathing, Circulation,​ Disability, Exposure and Fluid resuscitation. The primary survey is to help get an idea of how the patient can be potentially treated for his/her thermal injury. The Secondary Survey looks at the patient from head-to-toe. The physician will evaluate the burned area, measure the size, depth and surface area of wound. Tetanus shot given to all patients who have a greater than first-degree burn. A tetanus shot (tetanus prophylaxis is given to prevent bacterial infection from the exotocin produced by, Clostridium tetani. With infection, the disease tetanus results. Tetanus is a disease of muscle spasm and rigidity (Alharbi et al, 2012). The disease has a mortality rate of 20% due to spasm and rigidity of respiratory muscles). In the secondary survey, a burn assessment chart will be used to calculate the total body surface area (TSBA) of the burn. This chart is known is the Rule of Nines. Burns greater than 15% in adult, 10% children, and any in elderly is considered serious and would require further hospitalization care (WHO, 2007). Body is divided into regions of 9%. Morbidity and mortality arises with increased burned surface area. +There are two surveys that are conducted. The Primary Survey looks at A.B.C.D.E.F,​ which stands for Airway, Breathing, Circulation,​ Disability, Exposure and Fluid resuscitation. The primary survey is to help get an idea of how the patient can be potentially treated for his/her thermal injury. The Secondary Survey looks at the patient from head-to-toe. The physician will evaluate the burned area, measure the size, depth and surface area of wound. Tetanus shot given to all patients who have a greater than first-degree burn. A tetanus shot (tetanus prophylaxis is given to prevent bacterial infection from the exotocin produced by, Clostridium tetani. With infection, the disease tetanus results. Tetanus is a disease of muscle spasm and rigidity (Alharbi et al, 2012). The disease has a mortality rate of 20% due to spasm and rigidity of respiratory muscles). In the secondary survey, a burn assessment chart will be used to calculate the total body surface area (TSBA) of the burn. This chart is known is the Rule of Nines. Burns greater than 15% in adult, 10% children, and any in elderly is considered serious and would require further hospitalization care. Body is divided into regions of 9%. Morbidity and mortality arises with increased burned surface area (WHO, 2007)
  
-A patient needs to be referred to a specialized burn care facility if the patient has partial thickness burns greater than 10% total body surface area (TSBA), if they have acquired an electrical burn (including lightning injury), if they have an inhalation injury, or if the patient has any pre-existing medical conditions. ​+A patient needs to be referred to a specialized burn care facility if the patient has partial thickness burns greater than 10% total body surface area (TSBA), if they have acquired an electrical burn (including lightning injury), if they have an inhalation injury, or if the patient has any pre-existing medical conditions ​(Alharbi et al, 2012)
  
-{{:​screen_shot_2017-02-03_at_11.42.31_pm.png}} Figure 5Rule of Nines: Each body part is at 9% total body surface area (TBSA). The greater the body coverage due to thermal injury, the greater the risk of admittance to a specialized burn care facility. ​+ 
 +{{:​screen_shot_2017-02-03_at_11.42.31_pm.png}} ​ 
 + 
 + 
 +**Figure 5-** Rule of Nines: Each body part is at 9% total body surface area (TBSA). The greater the body coverage due to thermal injury, the greater the risk of admittance to a specialized burn care facility ​(WHO, 2007).
  
 ===== Management ===== ===== Management =====
Print/export
QR Code
QR Code group_5_presentation_1_-_thermal_injuries (generated for current page)