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Burn Care

  • Bruna Arcoverde Abbott
  • Maykon Martins de Souza
  • Renato da Silva Freitas
  • Ana Luisa Bettega
  • Carl Ivan Schulman
Chapter

Abstract

There are six causal categories of burns: fire, scald, contact, chemical, electrical, and radiation. Since every burn victim should be considered as a trauma victim, the initial assessment should be fast and objective following clear rules observing basically the following parameters: age of the patient, affected site of the body, burn body surface area and identifying the causative agent of the lesion, other associated traumas, comorbidities, social conditions, and depth of burns. Regarding the depth of the lesion, they can be classified as follows: first degree which comprises only the epidermis, second degree reaching also partially the dermis, and third degree in which injuries have spread to the entire thickness of the dermis. It is important to evaluate the airway once airway obstruction due to inhalation injury or edema can be present and indicates immediate treatment with intubation. Arterial blood gas and carboxyhemoglobin levels should be obtained when inhalation injury is suspected. Noninvasive measurement of blood pressure may be difficult in patients with burned extremities, so an arterial line may be necessary to monitor the blood pressure during transfer or resuscitation. Lactated Ringer’s solution without dextrose is the fluid of choice.

Keywords

Burn care Burn Trauma Body surface area Degree Airway 

Bibliography

  1. 1.
    Moore E, Feliciano D, Mattox K. Trauma. 8th ed. New York: McGraw-Hill Education; 2017. p. 945–55.Google Scholar
  2. 2.
    Warden GD, et al. Fluid resuscitation and early management. In: Herndon DN, editor. Total burn care. 4th ed. London: Saunders; 2012. p. 115–25.CrossRefGoogle Scholar
  3. 3.
    Williams FN, Jeschke MG, Chinkes DL, Suman OF, Branski LK, Herndon DN. Modulation of the post-burn hypermetabolic response to trauma: temperature, nutrition, and drugs. J Am Coll Surg. 2009;208:489–502.CrossRefGoogle Scholar
  4. 4.
    Townsend C, Beauchamp D. Sabiston. Tratado de cirurgia, vol. 1. 19a ed: Elsevier; 2014. p. 521–46.Google Scholar
  5. 5.
    Gomes D, Serra M, Pellon M. Queimaduras. Editora Revinter Ltda, 1995.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Bruna Arcoverde Abbott
    • 1
  • Maykon Martins de Souza
    • 1
  • Renato da Silva Freitas
    • 2
  • Ana Luisa Bettega
    • 1
  • Carl Ivan Schulman
    • 3
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Division of Plastic Surgery, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Division of Trauma Surgery & Critical Care, DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of MiamiMiamiUSA

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