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BURNS
1
Defination :
• Burns - Wound characterized by coagulative
necrosis of skin & underlying tissues.
TYPES OF BURNS
BASED ON CAUSE
ORDINARY
SCALDS
ELECTRIC BURNS
CHEMICAL BURNS
RADIATION BURNS
COLD BURNS
ORDINARY BURN
SCALDS
TYPES OF COLD BURNS
FROSTBITE
PATHOLOGY OF BURNS
LOCAL
Severity of burn
Extent Of Burn
Vascular changes
Infection
SYSTEMIC
Shock
Biochemical
Changes
Changes in
Blood
Systemic lesions
Pathophysiology :
Burns ( coagulative necrosis)
Cellular injury & inflammation
Release of vasoactive substances
Increased capillary permeability
Edema Burns shock
Blister formation Hypovolemia
Blood flow diversion
Ischemia
Renal GI mucosal necrosis
ARF Curling’s ulcers
SEVERITY OF BURNS
ESTIMATE EXTENT OF
BURN
Degree of
Burn
1st Degree 2nd Degree
Partial
Thickness
2nd Degree
Deep Burns
3rd Degree 4th Degree
Involvement Epidermis Epidermis +
Dermis
E+ D E+D+Subcut
tissue
E+D+S+muscles
, tendons &
bone
Appearance
Symptoms &
Signs
Pain ++ Pain ++++ Painful -less
severe
Painless,insensi
tive, Severe
Edema
No Edema
Healing 3-5 days ,
spontaneous
No Scarring
2 weeks, min
scarring,
minimal
discolouration
2-6 weeks
Hypertrophic
scarring /
formation of
contractures
No
spontaneous
healing
No
spontaneous
healing
Degree of
Burn
1st Degree 2nd Degree
Partial
Thickness
2nd Degree
Deep Burns
3rd Degree 4th Degree
Involvement Epidermis Epidermis +
Dermis
E+ D E+D+Subcut
tissue
E+D+S+muscle
s, tendons &
bone
Appearance Red to Pink
Dry, No
Blisters
Red to pink,
Wet and
weeping
wounds
Thin-walled,
fluid-filled
blisters
Mottled: Red,
pink, or white
area
Moist
Dry, leathery &
rigid, Eschar
(hard and in-
elastic)
Red, white,
yellow or black
Black (dry, dull
and charred)
Eschar tissue:
hard, inelastic
Symptoms &
Signs
Pain ++ Pain ++++ Painful -less
severe
Painless &
insensitive to
palpation,
Severe Edema
No Edema
Healing 3-5 days ,
spontaneou
s
No Scarring
2 weeks, min
scarring,
minimal
discolouration
2-6 weeks
Hypertrophic
scarring /
formation of
contractures
No
spontaneous
healing
No
spontaneous
healing
TREATMENT
Treatment of
Shock
1) Sedation
2) Fluid Resuscitation
3) Maintenance of
Airway
General
Treatment
1) Escharotomy and
Fasciotomy
2) Tetanus Prophylaxis
3) Antibiotics
4) Nutritional Support
5) Gastric
decompressio
6) Treatment of GI
complication
Local
Treatment
1) First aid measures
2) Burn Wound care
3) Skin grafting
4) Physical therapy
and Rehabilitation
COMPLICATION OF THERMAL BURNS
Curling Ulcer
Acute Pancreatitis
Acute Acalculous Cholecystitis
Superior Mesenteric Artery Syndrome
Non Occlusive Ischemic Enterocolitis
Myocardial Infarct

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Burn ppt Dr Neha Jadhav

  • 2. Defination : • Burns - Wound characterized by coagulative necrosis of skin & underlying tissues.
  • 3. TYPES OF BURNS BASED ON CAUSE ORDINARY SCALDS ELECTRIC BURNS CHEMICAL BURNS RADIATION BURNS COLD BURNS
  • 5.
  • 8. PATHOLOGY OF BURNS LOCAL Severity of burn Extent Of Burn Vascular changes Infection SYSTEMIC Shock Biochemical Changes Changes in Blood Systemic lesions
  • 9. Pathophysiology : Burns ( coagulative necrosis) Cellular injury & inflammation Release of vasoactive substances Increased capillary permeability Edema Burns shock Blister formation Hypovolemia Blood flow diversion Ischemia Renal GI mucosal necrosis ARF Curling’s ulcers
  • 11.
  • 13. Degree of Burn 1st Degree 2nd Degree Partial Thickness 2nd Degree Deep Burns 3rd Degree 4th Degree Involvement Epidermis Epidermis + Dermis E+ D E+D+Subcut tissue E+D+S+muscles , tendons & bone Appearance Symptoms & Signs Pain ++ Pain ++++ Painful -less severe Painless,insensi tive, Severe Edema No Edema Healing 3-5 days , spontaneous No Scarring 2 weeks, min scarring, minimal discolouration 2-6 weeks Hypertrophic scarring / formation of contractures No spontaneous healing No spontaneous healing
  • 14. Degree of Burn 1st Degree 2nd Degree Partial Thickness 2nd Degree Deep Burns 3rd Degree 4th Degree Involvement Epidermis Epidermis + Dermis E+ D E+D+Subcut tissue E+D+S+muscle s, tendons & bone Appearance Red to Pink Dry, No Blisters Red to pink, Wet and weeping wounds Thin-walled, fluid-filled blisters Mottled: Red, pink, or white area Moist Dry, leathery & rigid, Eschar (hard and in- elastic) Red, white, yellow or black Black (dry, dull and charred) Eschar tissue: hard, inelastic Symptoms & Signs Pain ++ Pain ++++ Painful -less severe Painless & insensitive to palpation, Severe Edema No Edema Healing 3-5 days , spontaneou s No Scarring 2 weeks, min scarring, minimal discolouration 2-6 weeks Hypertrophic scarring / formation of contractures No spontaneous healing No spontaneous healing
  • 15. TREATMENT Treatment of Shock 1) Sedation 2) Fluid Resuscitation 3) Maintenance of Airway General Treatment 1) Escharotomy and Fasciotomy 2) Tetanus Prophylaxis 3) Antibiotics 4) Nutritional Support 5) Gastric decompressio 6) Treatment of GI complication Local Treatment 1) First aid measures 2) Burn Wound care 3) Skin grafting 4) Physical therapy and Rehabilitation
  • 16. COMPLICATION OF THERMAL BURNS Curling Ulcer Acute Pancreatitis Acute Acalculous Cholecystitis Superior Mesenteric Artery Syndrome Non Occlusive Ischemic Enterocolitis Myocardial Infarct