Your SlideShare is downloading. ×
0
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
GEMC: Introduction to Burns: Resident Training
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

GEMC: Introduction to Burns: Resident Training

318

Published on

This is a lecture by Dr. Robert Preston from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the …

This is a lecture by Dr. Robert Preston from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.

Published in: Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
318
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
9
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Project: Ghana Emergency Medicine Collaborative Document Title: Introduction to Burns Author(s): Robert Preston, MD License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. These lectures have been modified in the process of making a publicly shareable version. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/privacy-and-terms-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers. 1
  • 2. Attribution Key for more information see: http://open.umich.edu/wiki/AttributionPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (17 USC § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will2 Fair. be
  • 3. Introduction to Burns Robert Preston, MD Division of Emergency Medicine Division of Burn, Trauma, and Critical Care University of Utah Robworldwide@Gmail.com Enlarge, Wikimedia Commons 3
  • 4. HPI •  9 year old with no significant medical history •  He lit his shirt on fire in his room •  He was able to extinguish the flames on his shirt, but larger fire started in his room •  Neighbor/Ambulance staff rescued him from bedroom, no longer on fire himself but confused and with obvious burns to much of his body •  Initial Vitals: •  T 37.2 HR 121 BP 155/78 RR 24 S 92%ra *** 4
  • 5. Physical Face Anterior thorax Right arm, anterior and posterior, upper ½ Left arm, anterior aspect, entire limb Face Source Undetermined 5
  • 6. ABCs •  •  •  •  •  General: Shaking, moaning A: Verbal, but confused. B: Crackles at bases. C: Thready, rapid, regular pulses D: Opens eyes to pain; Localizes to pain (crossing midline) 6
  • 7. Physical •  VS: 155/78 P122 T 37.2 RR 24 Sat% 92% ra •  Gen: Shaking, moaning. •  Neuro: GCS 12; No FND •  HEENT: PERRL. Soot in nose. •  Resp: Tachypenic. Crackles at bases bilaterally •  CV: Regular, rapid rate. No r,m,g. Burns to anterior chest •  Abd: Tender to palpation due to burns. Not distended. •  Skin: Burns to torso, front and back, as well as to upper anterior right arm, upper anterior and posterior left arm; •  Extremities: Pulses 2/4 throughout in all extremities *** 7
  • 8. LABS •  WBC: 13; Hgb: 15 Platelets: 390 141 106 8 4.0 25 0.5 101 8
  • 9. Chest Xray Source Undetermined 9
  • 10. Critical Actions ü  ü  ü  ü  ü  ü  A-B-C approach Pain control offered, provided Tetanus status assessed Identify probable inhalation injury and proceed with intubation Estimate TBSA of burn (Rule of 9s or suitable other method) Initiate adequate initial fluid resuscitation (Parkland formula or or suitable other method) 10
  • 11. Webaware, Wikimedia Commons 11
  • 12. First degree burn

×