Abstract
This chapter is designed for the surgeon who finds themselves caring for burns in extreme circumstances. Topics discussed include initial diagnosis, early and late resuscitation, the basics of excision and grafting, and common problems faced by surgeons providing care for burn patients with limited resources including materials, space, mandate, and time.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ramasamy A, Hill AM, Clasper JC. Improvised explosive devices: patho-physiology, injury profiles and current medical management. J R Army Med Corps. 2009;155:265–72.
Jeevaratnam JA, Pandya AN. One year of burns at a role 3 medical treatment facility in Afghanistan. J R Army Med Corps. 2014;160:22–6.
Smith DL, et al. Effect of inhalation injury, burn size, and age on mortality—a study of 1447 consecutive burn patients. J Trauma. 1994;37:655–9.
Kramer GC, Michell MW, Oliveira H, et al. Oral and enteral resuscitation of burn shock. The historical record and implications for mass casualty care. J Burn Wound Care. 2003;2:1458–74.
Chung KK, Salinas J, Renz EM, et al. Simple derivation of the initial fluid rate for the resuscitation of severely burned adult combat casualties: in silico validation of the rule of 10. J Trauma. 2010;69(suppl 1):S49–54.
Saffle JR. The phenomenon of “fluid creep” in acute burn resuscitation. J Burn Care Res. 2007;28:382–95.
Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients. J Trauma. 2000;49:387–91.
Brownson EG, Pham TN, Chung KK. How to recognize a failed burn resuscitation. Crit Care Clin. 2016;32:567–75.
Bennett JE, Lewis E. Operative decompression of constricting burns. Surgery. 1958;43:949–55.
Kaplan I, White W. Incisional decompression of circumferential burns. Plast Reconstr Surg. 1961;28:609–18.
Pruitt BA, Dowling JA, Moncrief JA. Escharotomy in early burn care. Arch Surg. 1968;96:502–7.
Renz EM, Cancio LC, Barillo DJ, et al. Long range transport of war-related burn casualties. J Trauma. 2008;64:S136–45.
Venticinque SG, Grathwohl KW. Critical care in the austere environment: providing exceptional care in unusual places. Crit Care Med. 2008;36:S284–92.
Dufour D, Kroman Jensen S, Owen-Smith M, et al. Surgery for Victims of War. Geneva, Switzerland: International Committee of the Red Cross, 1998:225. Ref. 0446. Available at: http//www.icrc.org/web/eng/siteeng0.nsf/html/p0446. Accessed 30 Jan 2017.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Vercruysse, G. (2018). The Rational Care of Burns. In: Galante, J., Martin, M., Rodriguez, C., Gordon, W. (eds) Managing Dismounted Complex Blast Injuries in Military & Civilian Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-74672-2_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-74672-2_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74671-5
Online ISBN: 978-3-319-74672-2
eBook Packages: MedicineMedicine (R0)