Что такое findslide.org?

FindSlide.org - это сайт презентаций, докладов, шаблонов в формате PowerPoint.


Для правообладателей

Обратная связь

Email: Нажмите что бы посмотреть 

Яндекс.Метрика

Презентация на тему Initial Care of Burns

Содержание

What is a burn?Cutaneous injury caused by heat, electricity, chemicals, friction, or radiation.
Initial Care of BurnsChecked by: Z.S. MaksutzhanovnaPresented: Zhakypova A What is a burn?Cutaneous injury caused by heat, electricity, chemicals, friction, or radiation. Burn Depth First Degree BurnsEpidermis affected onlyRed or pink, dry, painful, blanches to touchEpidermis Superficial Partial Thickness Entire epidermis & portion of dermis (Papillary dermis)Homogenous pinkPainfulBlistersBlanchesHair Deep partial thicknessReticular dermisMottled red and whiteNot painful to pinprick or pressureDoes Deep Partial Thickness  x Full Thickness:  3rd degreeMay go into fat or deeperRed, white, brown, Etiology Types of burns Circumstances of injury Where do burns occur Admissions by age Inhalation InjuryExposure to heat and toxic products of combustion50% of fire deaths Inhalation injury diagnosisClosed-space fireFace burns TerminologyInhalation injury “nonspecific”Thermal injuryUpper airwayHeat and toxic fumesLocal chemical irritationThroughout airwayPrimarily toxic fumesSystemic toxicityCO Signs and symptomsLacrimationCoughHoarsenessDyspneaDisorientationAnxietyWheezingConjunctivitisCarbonaceous sputumSinged hairsStridorBronchorrhea PathophysiologyThe main factor responsible for mortality in thermally injured patientsCarbon monoxide the Determine Burn Severity% BSA involvedDepth of injuryAgeAssociated/pre-existing disease or illnessBurns to face, hands, genitaliaxx Burn ExtentTotal Body Surface Area (TBSA)?Rule of ninesLund and Browder chartPatients palm = about 1% TBSA Extent of Burn :“Rule of Nines”Adult anatomical areas = 9% BSA (or Burn DepthFactorsTemperatureDuration of contactDermal thicknessBlood supplySpecial Consideration: Very young and very old have thinner skin Burns begin at 44 degrees C6 hours for burns to occur at	111 Pain control Ice Pack-----DO NOT USE EVERDOES NOTReverse temperatureInhibit destructionPrevent edemaDOESDelay edemaReduce pain Non-medication methodsCover burns with plastic wrapWet dressings will stick and cause more MedicationMedicationsOpioidsNarcoticsPain medicationsIV Analgesia Resuscitation IV access< 15% TBSA – oral resuscitation15 – 40% TBSA – one Field resuscitationStart IV with LR, through burn OK< 6 years = 125mL/hr Contact Contact Burn Scald Burn Flame Burn Grease Burn
Слайды презентации

Слайд 2 What is a burn?
Cutaneous injury caused by heat,

What is a burn?Cutaneous injury caused by heat, electricity, chemicals, friction, or radiation.

electricity, chemicals, friction, or radiation.


Слайд 3 Burn Depth

Burn Depth

Слайд 4 First Degree Burns
Epidermis affected only
Red or pink, dry,

First Degree BurnsEpidermis affected onlyRed or pink, dry, painful, blanches to

painful, blanches to touch
Epidermis is intact
Spontaneous healing within 7

days. Outer injured epithelial cells peel
Seldom clinically significant

Слайд 5 Superficial Partial Thickness

Entire epidermis & portion of dermis

Superficial Partial Thickness Entire epidermis & portion of dermis (Papillary dermis)Homogenous

(Papillary dermis)
Homogenous pink
Painful
Blisters
Blanches
Hair usually intact
Does not scar, may pigment

differently

Слайд 6 Deep partial thickness
Reticular dermis
Mottled red and white
Not painful

Deep partial thicknessReticular dermisMottled red and whiteNot painful to pinprick or

to pinprick or pressure
Does not blanch
Heals > 3 weeks
Usually

scars
Need to excise and graft

Слайд 7 Deep Partial Thickness
x

Deep Partial Thickness x

Слайд 8 Full Thickness: 3rd degree
May go into fat or

Full Thickness: 3rd degreeMay go into fat or deeperRed, white, brown,

deeper
Red, white, brown, black
Inelastic and leathery
painless or numb
Heals only

from the periphery
Always excise and graft



Слайд 9 Etiology

Etiology

Слайд 10 Types of burns

Types of burns

Слайд 11 Circumstances of injury

Circumstances of injury

Слайд 12 Where do burns occur

Where do burns occur

Слайд 13 Admissions by age

Admissions by age

Слайд 14 Inhalation Injury

Exposure to heat and toxic products of

Inhalation InjuryExposure to heat and toxic products of combustion50% of fire

combustion

50% of fire deaths are related to inhalation injuries
Asphyxia/Carbon

Monoxide displacement of oxygen


Слайд 15 Inhalation injury diagnosis
Closed-space fire
Face burns

Inhalation injury diagnosisClosed-space fireFace burns

Слайд 16 Terminology
Inhalation injury “nonspecific”
Thermal injury
Upper airway
Heat and toxic fumes
Local

TerminologyInhalation injury “nonspecific”Thermal injuryUpper airwayHeat and toxic fumesLocal chemical irritationThroughout airwayPrimarily toxic fumesSystemic toxicityCO

chemical irritation
Throughout airway
Primarily toxic fumes
Systemic toxicity
CO


Слайд 17 Signs and symptoms
Lacrimation
Cough
Hoarseness
Dyspnea
Disorientation
Anxiety
Wheezing
Conjunctivitis
Carbonaceous sputum
Singed hairs
Stridor
Bronchorrhea

Signs and symptomsLacrimationCoughHoarsenessDyspneaDisorientationAnxietyWheezingConjunctivitisCarbonaceous sputumSinged hairsStridorBronchorrhea

Слайд 18 Pathophysiology
The main factor responsible for mortality in thermally

PathophysiologyThe main factor responsible for mortality in thermally injured patientsCarbon monoxide

injured patients
Carbon monoxide the most common toxin
200 times greater

affinity
Competitive inhibition with cytochrome P-450

Слайд 19 Determine Burn Severity
% BSA involved
Depth of injury
Age
Associated/pre-existing disease

Determine Burn Severity% BSA involvedDepth of injuryAgeAssociated/pre-existing disease or illnessBurns to face, hands, genitaliaxx

or illness
Burns to face, hands, genitalia
xx


Слайд 20 Burn Extent

Total Body Surface Area (TBSA)?

Rule of nines
Lund

Burn ExtentTotal Body Surface Area (TBSA)?Rule of ninesLund and Browder chartPatients palm = about 1% TBSA

and Browder chart
Patients palm = about 1% TBSA


Слайд 21 Extent of Burn :“Rule of Nines”

Adult anatomical areas

Extent of Burn :“Rule of Nines”Adult anatomical areas = 9% BSA

= 9% BSA (or multiple)
Not accurate for infants or

children due to larger BSA of head & smaller BSA legs.
Burn diagrams illustrate adult – child differences

Слайд 22 Burn Depth
Factors
Temperature
Duration of contact
Dermal thickness
Blood supply
Special Consideration: Very

Burn DepthFactorsTemperatureDuration of contactDermal thicknessBlood supplySpecial Consideration: Very young and very old have thinner skin

young and very old have thinner skin


Слайд 23 Burns begin at 44 degrees C
6 hours for

Burns begin at 44 degrees C6 hours for burns to occur

burns to occur at
111 degrees F (44 C)

1 second

of burns to occur at
140 degrees F (60 C)

Слайд 24 Pain control

Pain control

Слайд 25 Ice Pack-----DO NOT USE EVER
DOES NOT
Reverse temperature
Inhibit destruction
Prevent

Ice Pack-----DO NOT USE EVERDOES NOTReverse temperatureInhibit destructionPrevent edemaDOESDelay edemaReduce pain

edema
DOES
Delay edema
Reduce pain


Слайд 26 Non-medication methods
Cover burns with plastic wrap
Wet dressings will

Non-medication methodsCover burns with plastic wrapWet dressings will stick and cause

stick and cause more pain
Other burn dressings are expensive

and not necessary
Quik Clot is expensive and will not provide any patient benefit

Слайд 27 Medication
Medications
Opioids
Narcotics
Pain medications
IV Analgesia

MedicationMedicationsOpioidsNarcoticsPain medicationsIV Analgesia

Слайд 28 Resuscitation

Resuscitation

Слайд 29 IV access
< 15% TBSA – oral resuscitation
15 –

IV access< 15% TBSA – oral resuscitation15 – 40% TBSA –

40% TBSA – one large bore IV
> 40% --

two large bore IV’s
IV’s should be in the upper extremities
Suture IV’s started through burns

Слайд 30 Field resuscitation
Start IV with LR, through burn OK

Field resuscitationStart IV with LR, through burn OK< 6 years =

6 years = 125mL/hr
6-13 years = 250mL/hr
>13

years = 500mL/hr

Слайд 31

Contact

Contact

Слайд 32

Contact Burn

Contact Burn

Слайд 33

Scald Burn

Scald Burn

Слайд 34
Flame Burn

Flame Burn

Слайд 35
Grease Burn

Grease Burn

  • Имя файла: initial-care-of-burns.pptx
  • Количество просмотров: 88
  • Количество скачиваний: 0