This document discusses burn injuries including:
1) Depth and extent of burns are classified using tools like the Lund-Browder chart to determine severity. Location of burns can impact respiratory function.
2) Emergent management focuses on airway, breathing, circulation and stopping the burning process. Fluid shifts cause hypovolemic shock in the first days.
3) Complications include cardiovascular issues like shock and respiratory issues like airway burns and inhalation injuries. Fluid replacement therapy is critical to manage fluid shifts. The Parkland formula guides initial fluid resuscitation.
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Topics - High-Altitude Physiology, Deep Sea Diving And Effects Of Increased Barometric Pressure, Changes In Respiratory System During Pregnancy, Physiological Changes Of Repiratory System With Exercise, Physiological Changes Of Respiratory System With Aging
Changes in Respiratory System with Various Physiological ConditionsAnand Bansal
Topics - High-Altitude Physiology, Deep Sea Diving And Effects Of Increased Barometric Pressure, Changes In Respiratory System During Pregnancy, Physiological Changes Of Repiratory System With Exercise, Physiological Changes Of Respiratory System With Aging
Asphyxia
Classification of Asphyxia
Mechanical Asphyxia
Mugging/ throttling
Mechanical Asphyxia
Pathological Asphyxia
Toxic or chemical Asphyxia
Environmental Asphyxia
Traumatic Asphyxia
Positional/postural Asphyxia
Iatrogenic Asphyxia
Tardieu’s or Bayard’s ecchymosis/spots
Hanging
Classification of Hanging
Cause of Death in Hanging
Fatal period in Hanging
Factors which influence the appearance of ligature mark ??
Judicial Hanging
Hangman’s fracture
Strangulation
ligature strangulation
Cause of death
Throttling or Manual Strangulation
Hyoid Bone Fractures
AUTOEROTIC
CHEMICAL Asphyxia
CHOKING
SMOTHERING Asphyxia
POSITIONAL Asphyxia
Drowning
Classification of Drowning
Typical or wet drowning
Mechanism of fresh water drowning
Mechanism of death in fresh water drowning
Mechanism of sea water drowning
Mechanism of death in sea water drowning
Atypical drowning
Dry drowning
Immersion syndrome
Near drowning
Shallow water drowning
Epidemiology of drowning
Cause of Death
Postmortem Examination
Froth
Reference
A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
Deep sea diving and physiological response to high barometric pressure Ranadhi Das
Sea water is approximately 800 times more dense than air. Therefore, it exerts much greater pressure on the body of a diver.
The weight exerted by the atmosphere on an area of 1m2, is approximately 10,000kg at sea level. This value of pressure (10,000 kg m-2) is thus referred to as 1 atmospheric absolute (1 ATA), or 1 atmospheric pressure.
For every 10m(~32feet) below the surface a person dives, he is subjected to an additional pressure of 1ATA. Therefore, at 30m, a diver will experience a pressure of 4 ATA (1 ATA exerted by the atmosphere, & 3 ATA exerted by the 30m of water above him).
This presentation will help you to find answers for all the questions related to definition, types, causes, treatment, management and nursing care to burns patient.
Asphyxia
Classification of Asphyxia
Mechanical Asphyxia
Mugging/ throttling
Mechanical Asphyxia
Pathological Asphyxia
Toxic or chemical Asphyxia
Environmental Asphyxia
Traumatic Asphyxia
Positional/postural Asphyxia
Iatrogenic Asphyxia
Tardieu’s or Bayard’s ecchymosis/spots
Hanging
Classification of Hanging
Cause of Death in Hanging
Fatal period in Hanging
Factors which influence the appearance of ligature mark ??
Judicial Hanging
Hangman’s fracture
Strangulation
ligature strangulation
Cause of death
Throttling or Manual Strangulation
Hyoid Bone Fractures
AUTOEROTIC
CHEMICAL Asphyxia
CHOKING
SMOTHERING Asphyxia
POSITIONAL Asphyxia
Drowning
Classification of Drowning
Typical or wet drowning
Mechanism of fresh water drowning
Mechanism of death in fresh water drowning
Mechanism of sea water drowning
Mechanism of death in sea water drowning
Atypical drowning
Dry drowning
Immersion syndrome
Near drowning
Shallow water drowning
Epidemiology of drowning
Cause of Death
Postmortem Examination
Froth
Reference
A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
Deep sea diving and physiological response to high barometric pressure Ranadhi Das
Sea water is approximately 800 times more dense than air. Therefore, it exerts much greater pressure on the body of a diver.
The weight exerted by the atmosphere on an area of 1m2, is approximately 10,000kg at sea level. This value of pressure (10,000 kg m-2) is thus referred to as 1 atmospheric absolute (1 ATA), or 1 atmospheric pressure.
For every 10m(~32feet) below the surface a person dives, he is subjected to an additional pressure of 1ATA. Therefore, at 30m, a diver will experience a pressure of 4 ATA (1 ATA exerted by the atmosphere, & 3 ATA exerted by the 30m of water above him).
This presentation will help you to find answers for all the questions related to definition, types, causes, treatment, management and nursing care to burns patient.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. DEPTH OF BURN
• According to depth of skin destruction second- and third-
degree burns are categorized in to partial-thickness burns (
epidermis and dermis) full-thickness burns ( fat , muscle and
bone)
3. EXTENTION OF A BURN
• Two commonly used guides for determining the total body
surface area affected or the extent of a burn wound are the
Lund-Browder chart and the rule of nines.
4. LOCATION OF BURN
• The severity of the burn injury is related to the location of the
burn wound. Burns to the face and neck and circumferential
burns to the chest/back may inhibit respiratory function due to
mechanical obstruction secondary to edema or leathery,
devitalized tissue (eschar) formation. These injuries also may
signal the possibility of inhalation injury and respiratory
mucosal damage.
5. PHASES OF BURN MANAGEMENT
• There are mainly three phases
• emergent (resuscitative)
• acute (wound healing)
• rehabilitative (restorative).
6. PRE-HOSPITAL CARE
• Removing the person from the source of the burn and
stopping the burning process. Rescuers must also protect
themselves from being injured.
• In the case of electrical injuries, initial management involves
removal of the patient from contact with the source of current
by a trained individual.
• Most chemical burns are best treated by brushing solid
particles off the skin, followed by thorough lavage with water.
• Small thermal burns may be covered with a clean, cool, tap
water dampened towel for the patient's comfort and protection
until definitive medical care is instituted.
• Cooling of the injured area (if small) within 1 minute helps
7. • If the thermal burn area is large, attention needs to be focused first
on airway, breathing, and circulation (the ABCs):
• Airway: check for patency, soot around nares on the tongue, singed
nasal hair, and darkened oral or nasal membranes.
• Breathing: check for adequacy of ventilation.
• Circulation: check for presence and regularity of pulses, and elevate
the burned limb above the heart to decrease pain and swelling.
• If the burn is large (i.e., >10% TBSA), it is not advisable to immerse
the burned body part in cool water since doing so might lead to
extensive heat loss. The burn should never be covered in ice as this
could cause frostbite.
• As much burned clothing as possible should be gently removed to
prevent further tissue damage. Adherent clothing should be left in
place until the patient is transferred to a hospital.
• The patient should then be wrapped in a dry, clean sheet or blanket
to prevent further contamination of the wound and to provide
warmth.
8. EMERGENT PHASE
• The emergent (resuscitative) phase is the period of time
required to resolve the immediate, life-threatening problems
resulting from the burn injury. This phase may last from the
time of the burn to 3 or more days, but it usually lasts 24 to 48
hours. The primary concern is the onset of hypovolemic shock
and edema formation. The phase ends when fluid mobilization
and diuresis begin.
9. Pathophysiology
• Fluid and Electrolyte Shifts.
• hypovolemic shock may occur by a massive shift of fluids out of the
blood vessels as a result of increased capillary permeability and can
begin as early as 20 minutes postburn.
• As the capillary walls become more permeable, water, sodium, and
later plasma proteins (especially albumin) move into interstitial
spaces and other surrounding tissue.
• The colloidal osmotic pressure decreases with progressive loss of
protein from the vascular space.
• This results in more fluid shifting out of the vascular space into the
interstitial spaces
• The net result of the fluid shift is intravascular volume depletion.
• Decreased blood pressure (BP), increased pulse rate, and other
manifestations of hypovolemic shock are clinically detectable signs.
• If not corrected, irreversible shock and death may result.
10.
11. CLINICAL MANIFESTATIONS
• Superficial to moderate partial-thickness burns are painful.
Blisters filled with fluid and protein may occur in partial-
thickness burns. Fluid is shifted to the interstitial spaces and
third spaces.
• The patient may have signs of a dynamic ileus, such as absent
or decreased bowel sounds, as a result of the body's response
to massive trauma and potassium shifts. Shivering may occur
as a result of chilling that is caused by heat loss, anxiety, or
pain.
• The most common reason for unconsciousness is hypoxia
associated with smoke inhalation. Other possibilities include
12. COMPLICATIONS
• Cardiovascular System
• Cardiovascular system complications include
dysrhythmias and hypovolemic shock, which may
progress to irreversible shock.
• Circulation to the extremities can be severely impaired
by circumferential burns and subsequent edema
formation. These processes occlude the blood supply,
causing ischemia, paresthesias, necrosis, and
eventually gangrene.
13. • Respiratory System
• The respiratory system is especially vulnerable to two types of
injury: (1) upper airway burns that cause edema formation and
obstruction of the airway and (2) inhalation injury. Upper airway
distress may occur with or without smoke inhalation, and
airway injury at either level may occur in the absence of burn
injury to the skin.
14. • Upper Respiratory Tract Injury
• Upper respiratory tract injury results from direct heat
injury or edema formation and can lead to mechanical
airway obstruction and asphyxia.
• The edema associated with an upper respiratory tract
burn injury can be massive. Mechanical obstruction of
the airway is not limited to the patient with flame
burns to the upper airway.
• Swelling that accompanies scald burns to the face and
neck can be lethal, as can pressure from the
accumulated edema compressing the airway
externally.
15. FLUID REPLACEMENT THERAPY
• Types of fluids
• Colloids
blood
plasma and plasma expanders
electrolytes
lactated ringers
• Non – electrolytes
• D5W