Early surgical management in patients with burns
Authors:
R. Zajíček 1; R. Doležel 2; Y. Kaloudová 3; B. Bakalář 4
Authors‘ workplace:
Klinika popáleninové medicíny 3. lékařské fakulty Univerzity Karlovy v Praze a Fakultní nemocnice Královské Vinohrady, Praha
1; Chirurgická klinika 2. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice, Praha
2; Klinika popálenin a plastické chirurgie Fakultní nemocnice Brno
3; Klinika anesteziologie a resuscitace 3. lékařské fakulty Univerzity Karlovy v Praze a Fakultní nemocnice Královské Vinohrady, Praha
4
Published in:
Rozhl. Chir., 2019, roč. 98, č. 5, s. 194-199.
Category:
Review
Overview
Burns can be life threatening injuries with a significant risk of lifelong consequences. Severity of thermal injury is assessed using the combination of six essential factors (mechanism of injury, presence of inhalation trauma, extent of the burn area, depth of the burn, its location, patient’s age and co-morbidities) which also represent the determinants of referral to one of the three specialized burn centers in the Czech Republic. Early management consists of ABC Trauma Life Support (adequate oxygenation and ventilation, a venous access, parenteral fluid administration), pain relief, and sterile covering of the burn areas.
Keywords:
thermal injury – severity factor – burn management
Sources
1. Königová R, Bláha J, et al. Komplexní léčba popáleninového traumatu. Praha, Univerzita Karlova v Praze, Nakladatelství Karolinum 2010. ISBN 978-80-246-1670-4.2.
2. Brychta P, Kaloudová Y, Brož L, et al. Přednemocniční péče o termický úraz. 2001. [on line]. Available from: www.cls.cz/dokumenty2/os/r047.rtf.
3. Moieman N (ed.) EBA Practice Guidelines for Burn Care – Version 4 2017. [on line]. 4th ed. Barcelona. Available from: http://euroburn.org/wp-content/uploads/2014/09/EBA-Guidelines-Version-4-2017-1.pdf.
4. Brychta P, Zajíček R, Kaloudová Y, et al. Přednemocniční péče o termický úraz. 2017. [on line]. Available from: https://www.urgmed.cz/postupy/2017_popaleniny.pdf
5. Zajíček R, Gál P a kol. Jizva nejen v popáleninové medicíně. Mladá fronta 2018. ISBN 978-80-204-4721-0.
6. Trimmel H, Helbok R, Staudinger T, et al. S (+)-ketamine: Current trends in emergency and intensive care medicine. Wien Klin Wochenschr. 2018;130:356. doi.org/10.1007/s00508-017-1299-3.
7. Guilabert P, Usúa G, Martín N, et al. Fluid resuscitation management in patients with burns: update. Br J Anaesth. 2016;117:284−96. doi: 10.1093/bja/aew266.
8. Holliday MA, Segar WE. The maintenance need for water in parenteral fluid therapy. Pediatrics 1957;19:823−32.
9. Orgill DP, Piccolo N. Escharotomy and decompressive therapies in burns. J Burn Care Res. 2009;30:759−68. doi: 10.1097/BCR.0b013e3181b47cd3.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2019 Issue 5
Most read in this issue
- Acute hiatal hernias
- An alternative method of surgical treatment in refractory GERD following laparoscopic sleeve gastrectomy
- Rare causes of acute appendicitis
- Early surgical management in patients with burns