Skip to main content
SpringerLink
Log in
Book cover

General Trauma Care and Related Aspects pp 169–176Cite as

Burn Injury

  • Chapter
  • First Online:

Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

Burns are very devastating injuries to the skin and to the patient. The skin plays a key role in temperature and fluid regulation in the body and acts as a protective barrier against microorganisms. The anatomy of the skin can be divided into the epidermis, the outer layer of the skin; the dermis, collagen-containing elastic fibers, nerves, blood vessels, sweat glands, and hair follicles; and the subcutaneous tissue, fat-containing, larger blood vessels and nerves. The severity of burns depends on the depth of destruction, location, and the involved body surface area. Inadequate treatment of burns can lead to increased visible (physical) and invisible (psychological) scars. Adequate and correct management of severe burns requires a skilled multidisciplinary approach that addresses all the challenges of burned patients. This chapter provides an overview of the most important aspects of burns.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Altintas AA, Amini P, Altintas MA, Perbix W, Phan V, Stasch T, Spilker G (2010) Histometric and histomorphologic comparison of combustion and ambustion using in vivo reflectance-confocal microscopy. Microsc Res Tech.73(2):160-164

    PubMed  Google Scholar 

  2. Altintas MA, Altintas AA, Guggenheim M, Busch KH, Niederbichler AD, Aust MC, Vogt PM (2009 ) Is superficial burn caused by ultraviolet radiation (sunburn) comparable to superficial burn caused by heat – a histomorphological comparison by in vivo Reflectance-Mode-Confocal Microscopy. J Eur Acad Dermatol Venereol. 23(12):1389-1393

    Article  PubMed  CAS  Google Scholar 

  3. Smahel J (1985) Pathophysiology of the burn wound. Handchir Mikrochir Plast Chir 17(6):340–342

    PubMed  CAS  Google Scholar 

  4. Shea SM, Caulfield JB, Burke JF (1973) Microvascular ultrastructure in thermal injury: a reconsideration of the role of mediators. Microvasc Res 5(1):87–96

    Article  PubMed  CAS  Google Scholar 

  5. Adams HA, Vogt PM (2009) Circulation therapy for severe burn injuries. Unfallchirurg 112(5):462–471

    Article  PubMed  CAS  Google Scholar 

  6. Baxter CR, Shires T (1968) Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci 150(3):874–894

    Article  PubMed  CAS  Google Scholar 

  7. Feller I, Tholen D, Cornell RG (1980) Improvements in burn care, 1965 to 1979. JAMA 244(18):2074–2078

    Article  PubMed  CAS  Google Scholar 

  8. Monafo WW (1974) Tangential excision. Clin Plast Surg 1(4):591–601

    PubMed  CAS  Google Scholar 

  9. Kim DE, Phillips TM, Jeng JC, Rizzo AG, Roth RT, Stanford JL, Jablonski KA, Jordan MH (2001) Microvascular assessment of burn depth conversion during varying resuscitation conditions. J Burn Care Rehabil 22(6):406–416

    Article  PubMed  CAS  Google Scholar 

  10. Srinivas SM, de Boer JF, Park H, Keikhanzadeh K, Huang HE, Zhang J, Jung WQ, Chen Z, Nelson JS (2004) Determination of burn depth by polarization-sensitive optical coherence tomography. J Biomed Opt 9(1):207–212

    Article  PubMed  Google Scholar 

  11. Deitch EA, Clothier J (1983) Burns in the elderly: an early surgical approach. J Trauma 23:891

    Article  PubMed  CAS  Google Scholar 

  12. Burke JF, Bondoc CC, Quinby WC (1974) Primary burn excision and immediate grafting: a method shortening illness. J Trauma 14(5):389–395

    Article  PubMed  CAS  Google Scholar 

  13. Altintas MA, Altintas AA, Knobloch K, Guggenheim M, Zweifel CJ, Vogt PM (2009) Differentiation of superficial-partial vs. deep-partial thickness burn ­injuries in vivo by confocal-laser-scanning microscopy. Burns 35(1):80–86

    Article  PubMed  CAS  Google Scholar 

  14. Jaskille AD, Shupp JW, Jordan MH, Jeng JC (2009) Critical review of burn depth assessment techniques: part I. Historical review. J Burn Care Res 30(6):937–947

    Article  PubMed  Google Scholar 

  15. Phillips LG, Robson MC, Smith DJ, Phillips WA, Gracia WD, McHugh TP, Sullivan WG, Mathoney K, Swartz K, Meltzer T (1989) Uses and abuses of a biosynthetic dressing for partial skin thickness burns. Burns 15(4):254–256

    Article  PubMed  CAS  Google Scholar 

  16. Uhlig C, Rapp M, Hartmann B, Hierlemann H, Planck H, Dittel KK (2007) Suprathel-an innovative, resorbable skin substitute for the treatment of burn victims. Burns 33(2):221–229

    Article  PubMed  CAS  Google Scholar 

  17. Hartmann B, Ekkernkamp A, Johnen C, Gerlach JC, Belfekroun C, Kuntscher MV (2007) Sprayed cultured epithelial autografts for deep dermal burns of the face and neck. Ann Plast Surg 58(1):70–73

    Article  PubMed  CAS  Google Scholar 

  18. Haslik W, Kamolz LP, Manna F, Hladik M, Rath T, Frey M (2010) Management of full-thickness skin defects in the hand and wrist region: first long-term experiences with the dermal matrix Matriderm. J Plast Reconstr Aesthet Surg 63(2):360–364

    Article  PubMed  CAS  Google Scholar 

  19. Baux S (1961) Contribution a l’etude du traitement local des brulures thermiques entendues. These, Paris

    Google Scholar 

  20. Tobiasen J, Hiebert JH, Edlich RF (1982) Prediction of burn mortality. Surg Gynaecol Obstet 154(5):711–714

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic, Hand- and Reconstructive Surgery, Hannover Medical School, Carl-Neuberg Str.1, Hannover, 30625, Germany

    M. A. Altintas & P. M. Vogt

Authors
  1. M. A. Altintas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. M. Vogt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. A. Altintas .

Editor information

Editors and Affiliations

  1. Dept. of Traumatology, Academic Teaching Hospital Celle, Celle, Germany

    Hans-Jörg Oestern

  2. University of Zurich Department of Trauma Surgery, Zürich, Switzerland

    Otmar Trentz

  3. Klinische Abt. Allgemeinchirurgie, Medizinische Universität Graz Universitätsklinik für Chirurgie, Graz, Austria

    Selman Uranues

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Altintas, M.A., Vogt, P.M. (2014). Burn Injury. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) General Trauma Care and Related Aspects. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88124-7_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-88124-7_13

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88123-0

  • Online ISBN: 978-3-540-88124-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation