Burn Critical Care

  • Aaron Crookshank
  • William B. Hughes
  • Daniel O. Hensell


Rapidly assess the burned patient, determine unique risk factors, and appropriately involve the burn specialist when criteria are met. Intervene with management strategies, including proper resuscitation, airway management, and surgical evaluation. Recognize when special circumstances alter management such as chemical, electrical, or inhalation injuries. Monitor for complications to individual injuries and develop a comprehensive approach to nutrition and rehabilitation that allows for complete recovery.


Compartment Syndrome Alternate Current Fluid Resuscitation Edema Formation Inhalation Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Latenser BA, Miller SF, Palmer BQ, et al. National burn repository 2006: a ten-year review. J Burn Care Res. 2007;28(5): 635-658.PubMedCrossRefGoogle Scholar
  2. 2.
    Ryan CM, Schoenfeld DA, Thorpe WP, Sheridan RL, Cassem EH, Tompkins RG. Objective estimates of the probabilities of death from burn injuries. N Eng J Med. 1998;338:362-366.CrossRefGoogle Scholar
  3. 3.
    Dimick AR, Brigham PA, Sheehy EM. The development of burn centers in North America. J Burn Care Rehab. 1993;14:284-299.CrossRefGoogle Scholar
  4. 4.
    American Burn Association. Practice guidelines for burn care. J Burn Care Rehab. 2001;22:S1-S69.CrossRefGoogle Scholar
  5. 5.
    Hettiaratchy S, Dziewulski P. Pathophysiology and types of burns. Br Med J. 2004;328:1427-1429.CrossRefGoogle Scholar
  6. 6.
    Jackson DM. The diagnosis of the depth of burning. Br J Surg. 1953;40:588.PubMedCrossRefGoogle Scholar
  7. 7.
    Matey P, Allison KP, Sheehan TM, Gowar JP. Chromic acid burns: early aggressive excision is the best method to prevent systemic toxicity. J Burn Care Rehabil. 2000;21(3):241-245.PubMedCrossRefGoogle Scholar
  8. 8.
    Hettiaratchy S, Papini R. Initial management of a major burn: II assessment and resuscitation. BMJ. 2004;329(7457):101-103.PubMedCrossRefGoogle Scholar
  9. 9.
    Demling RH. Fluid resuscitation. In: Boswick JA Jr, ed. The Art and Science of Burn Care. Rockville, MD: Aspen; 1987: 189-202.Google Scholar
  10. 10.
    Butler ED, Gant TD. Electrical injuries, with special reference to the upper extremities: a review of 182 cases. Am J Surg. 1977;134:95-101.PubMedCrossRefGoogle Scholar
  11. 11.
    DiVincenti FC, Moncrief JA, Pruitt BA. Electrical injuries: a review of 65 cases. J Trauma. 1969;9:497-507.PubMedCrossRefGoogle Scholar
  12. 12.
    Hunt JL, Mason AD, Masterson TS, et al. The pathophysiology of acute electric injury. J Trauma. 1976;16:335-340.PubMedCrossRefGoogle Scholar
  13. 13.
    Skoog T. Electrical injuries. J Trauma. 1970;10(10):816-830.PubMedCrossRefGoogle Scholar
  14. 14.
    Fish R. Electric shock, Part I: physics and pathophysiology. J Emerg Med. 1993;11(3):309-312.PubMedCrossRefGoogle Scholar
  15. 15.
    Jaffe RH. Electropathology: a review of pathologic changes produced by electric currents. Arch Pathol Lab Med. 1928;5:835.Google Scholar
  16. 16.
    Kouwenhoven WB. Effects of electricity in the human body. Electr Eng. 1949;68:199-203.Google Scholar
  17. 17.
    Jain S, Bandi V. Electrical and lightning injuries. Crit Care Clin. 1999;15:319.PubMedCrossRefGoogle Scholar
  18. 18.
    Koumbourlis AC. Electrical injuries. Crit Care Med. 2002;30 (11 suppl):S424-S430.PubMedCrossRefGoogle Scholar
  19. 19.
    Bernstein T. Electrical injury: electrical engineer’s perspective and an historical review. Ann NY Acad Sci. 1994;720:1-10.PubMedCrossRefGoogle Scholar
  20. 20.
    Lichtenberg R, Dries D, Ward K, et al. Cardiovascular effects of lightning strikes. J Am Coll Cardiol. 1993;21:531.PubMedCrossRefGoogle Scholar
  21. 21.
    Luce EA, Gottlieb SE. “True” high-tension electrical injuries. Ann Plast Surg. 1984;12:321.PubMedCrossRefGoogle Scholar
  22. 22.
    Baxter CR. Present concepts in the management of major electrical injury. Surg Clin North Am. 1970;50(6):1401-1418.PubMedGoogle Scholar
  23. 23.
    Williams DB, Karl RC. Intestinal injury associated with low-voltage electrocution. J Trauma. 1981;21(3):246-250.PubMedCrossRefGoogle Scholar
  24. 24.
    Vaglenova E. Chemical burns: epidemiology. Ann Burns Fire Disasters. 1997;10(1):16-19.Google Scholar
  25. 25.
    Seth R, Chester D, Moiemen N. A review of chemical burns. Trauma. 2007;9:81.CrossRefGoogle Scholar
  26. 26.
    Gruber RP. The effects of hydrotherapy on the clinical course and pH of experimental cutaneous chemical burns. Plast Reconstr Surg. 1975;55:200.PubMedCrossRefGoogle Scholar
  27. 27.
    Moran KD, O’Reilly T, Munster AM. Chemical burns: a ten year experience. Am Surg. 1987;53(11):652-653.PubMedGoogle Scholar
  28. 28.
    Herbert K, Lawrence JC. Chemical burns. Burns. 1989;15(6): 381-384.PubMedCrossRefGoogle Scholar
  29. 29.
    Davidson EC. The treatment of acid and alkali burns an experimental study. Ann Surg. 1927;85(4):481.PubMedCrossRefGoogle Scholar
  30. 30.
    Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clin Microbiol Rev. 2006;19(2):403-434.PubMedCrossRefGoogle Scholar

Additional Reading

  1. Ipaktchi K, Arbabi S. Advances in burn critical care. Crit Care Med. 2006;34(9):S239-S244.PubMedCrossRefGoogle Scholar
  2. Namias N. Advances in burn care. Curr Opin Crit Care. 2007;13(4): 405-410.PubMedCrossRefGoogle Scholar
  3. Roth J, Hughes W. The Essential Burn Unit Handbook. St. Louis: Quality Medical; 2004.Google Scholar
  4. Baxter CR. Fluid volume and electrolyte changes of the early postburn period. Clin Plast Surg. 1974;1(4):693-703.PubMedGoogle Scholar
  5. Herndon D, ed. Total Burn Care. Philadephia: WB Saunders; 1996.Google Scholar

On the Web

  1. The American Burn Association. http://www.ameriburn.org/index.php
  2. The Journal of Burn Care and Research. www.burncareresearch.com

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Aaron Crookshank
    • 1
  • William B. Hughes
    • 2
  • Daniel O. Hensell
    • 3
  1. 1.Division of Pulmonary and Critical CareTemple University HospitalPhiladelphiaUSA
  2. 2.Burn Center, Department of SurgeryTemple University HospitalPhiladelphiaUSA
  3. 3.Department of Surgery, Burn CenterTemple University HospitalPhiladelphiaUSA

Personalised recommendations