burns

1. PRINCIPLES IN
MANAGEMENT OF
BURNS
G.GAYATRI SWETHA

2. DETERMINANTS
 PERCENTAGE OF TOTAL BODY SURFACE
AREA INVOLVED
 DEPTH OF BURNS
 INHALATIONAL INJURY

3. SCENARIO 1:

5. SCENARIO 2: BLISTER

8. SCENARIO 3:

9. DRESS WITH NON-ADHERENT
MATERIAL

10. SCENARIO 4: RESCUED FROM A
FIRE ACCIDENT

12. INITIAL MANAGEMENT
 Clothing
 Cooling of the part
 Cleaning the part to remove dust, mud, etc
 Chemoprophylaxis—tetanus toxoid;
antibiotics; local antiseptics
 Covering with dressings by different
methods
 Comforting with sedation and pain killer

17. FLUID RESUSCITATION AND
MONITORING

20. BURN DEPTH

27.  ANALGESIA
 NUTRITION
 CONTROL OF INFECTION
 NURSING CARE
 PHYSIOTHERAPY
 PSYCHOTHERAPY

28. SURGERIES

33. SCENARIO 5:

34. SCENARIO 6: CHEMICAL
BURNS
 Initial treatment is dilution with water (Hydro
therapy). It is done using 15-20 litres of running tap
water.
 Neutralisation with antidote should never be done
at initialphase of treatment as it creates exothermic
reaction which aggravates the tissue damage.
 Late neutralisation is done,if required by 0.2%
acetic acid in alkali burns, sodium bicarbonate,
calcium gluconate 10% gel, topical ziphrin solution
in acid burns.