I had made a comprehensive presentation that covers the types of burns,causes,method to calculate the percentage of burns,symptoms&signs and management of burns.Hope it will be very much useful for medical students and emergency care physicians.
BURNS, TYPES OF BURNS, SOURCES OF BURNS, CAUSES OF BURNS, PATHOPHYSIOLOGY OF BURNS, SUMMARY OF BURNS PATHOPHYSIOLOGY, HEMODYNAMICS OF BURNS, SYSTEMIC CHANGES IN BURNS, THERMAL BURNS, ELECTRIC BURNS,CHEMICAL BURNS ,INHALATION BURNS
Burns Fluid Resuscitation
The first 24 hours for burns management is crucial.
The ability to deliver just the right amount of fluid in a patient with burns is the holy grail.
From #CodaZero Claire Seiffert presents on Burns Fluid Resuscitation.
Claire covers fluid overloaded with compartment syndrome, to underdone with an AKI and extension of burns.
This short update will provide an overview of how to achieve the “just right” fluid balance and targets for resuscitation, ultimately enhancing patient outcomes.
This is appt presentation done by me and my colleagues Bahaa , Anas , Sara , Eman , Shimaa , Fawzy , Zakaria Abdul-Nasser and Seham ( agroup of medical undergarduates , school of Medicine, Ain-shams university , Cairo , Egypt ) ...
This work was presented at the end of our Forensic medicine and toxicology round ..
I Hope every one to get the best out of the presentaion ..Any commentaries are even more appreciated :)
BURNS, TYPES OF BURNS, SOURCES OF BURNS, CAUSES OF BURNS, PATHOPHYSIOLOGY OF BURNS, SUMMARY OF BURNS PATHOPHYSIOLOGY, HEMODYNAMICS OF BURNS, SYSTEMIC CHANGES IN BURNS, THERMAL BURNS, ELECTRIC BURNS,CHEMICAL BURNS ,INHALATION BURNS
Burns Fluid Resuscitation
The first 24 hours for burns management is crucial.
The ability to deliver just the right amount of fluid in a patient with burns is the holy grail.
From #CodaZero Claire Seiffert presents on Burns Fluid Resuscitation.
Claire covers fluid overloaded with compartment syndrome, to underdone with an AKI and extension of burns.
This short update will provide an overview of how to achieve the “just right” fluid balance and targets for resuscitation, ultimately enhancing patient outcomes.
This is appt presentation done by me and my colleagues Bahaa , Anas , Sara , Eman , Shimaa , Fawzy , Zakaria Abdul-Nasser and Seham ( agroup of medical undergarduates , school of Medicine, Ain-shams university , Cairo , Egypt ) ...
This work was presented at the end of our Forensic medicine and toxicology round ..
I Hope every one to get the best out of the presentaion ..Any commentaries are even more appreciated :)
This is a topic of MSN 2 from the unit of burn which include basic and initial portion of burn which includes:
definition
etiology
prevention
classification of burn
as per depth 1st, 2nd, and 3rd degree burn
rule of nine
pathophysiology
A complete review for all medical students and doctors working in burn unit in any hospital. #Emergency #BurnProtocol #protocol #Burns #Abhishek #MUSTKNOW #knowledge #Medical #Health
This is a topic of MSN 2 from the unit of burn which include basic and initial portion of burn which includes:
definition
etiology
prevention
classification of burn
as per depth 1st, 2nd, and 3rd degree burn
rule of nine
pathophysiology
A complete review for all medical students and doctors working in burn unit in any hospital. #Emergency #BurnProtocol #protocol #Burns #Abhishek #MUSTKNOW #knowledge #Medical #Health
Burns are tissue damage that results from heat, overexposure to the sun or other radiation, or chemical or electrical contact. Burns can be minor medical problems or life-threatening emergencies. The treatment of burns depends on the location and severity of the damage.
WARNING: VERY VISUAL PRESENTATION. My first presentation on burns and their various medical, surgical and nursing interventions. It's a total crash course. Pardon me for forgetting the references. PS: All images are from Google.
This topic is oriented mainly on the Bailey & Love - 26th edition.
This will be of immense help for the MBBS - Students for the Theory as well as Clinical application.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
2. Ever since man has discovered fire there has been burn injury.
80,000-90,000 cases of burns occur in India, every year.
Early burnt tissue excision and various types of skin cover
promote early wound closure with better functional results.
3. RESPONSE TO BURN INJURY
Local changes
Burn causes coagulative necrosis.
Depth depending on
Temperature ;>400 C
Duration of contact.
Specific heat of causative agent.
8. Assessment of Surface Area of a Child
IN AN INFANT:-
Head = 19%.
Front and back = 18 + 18%
Each leg= 13/14%.
Each arms = 9%.
9. Local effects of burns
Burns inflammation:
Inflammatory cells arrive in burns area at 2-5 days
Most pronounced at 7-10 days
Blood flow maximal during this period
Burns wound edema:
↑ capillary permeability due to heat on endothelium and mediators of
Inflammation
10. Blisters
By leakage of fluid from heat injured deep vessels
Fluid enters & collects in Dermo-epidermal junction
Seen in superficial partial thickness injury
Provide medium for bacterial growth
Should be drained and appropriate dressing/ skin cover should be provided
11. Eschar
Metabolically dead burnt skin, seen in deep second,
third and fourth degree burns
May cause coagulation abnormalities
Treatment includes tangential excision and skin
grafting
12. Systemic effects of burns
Effect on CVS:
Cardiac output decreased due to
↑ peripheral vascular resistance
plasma volume
↑ blood viscosity
myocardial contractility
Cardiac output is almost
completely restored with
adequate fluid resuscitation.
13. Effect on renal function
Decreased blood volume and cardiac output results in
decreased renal blood flow and GFR.
Stress induced hormones & mediators (Angiotensin,
Aldosterone & Vasopressin) further decrease RBF.
Results in oliguria & ARF in inadequately treated
patients.
14. Effect on GI system
Diffuse mucosal atrophy by apoptosis of epithelial cells
Reduced uptake of glucose, amino acids & fats due to reduction
in brush border microvillus
Gastroduedonal ulceration (curling’s ulcer) due to stress
induced changes & reduced splanchic blood flow & poor
mucosal defense
15. Effect on immune system
Burns > 20% cause global dysfunction of immune
system
Macrophage & T-helper cell functional abnormalities &
impaired neutrophil chemotaxis
16. Management of burns
IMMEDIATE CARE
Patient must be removed from source of injury
Rescuer safety- rescuer does not becomes another victim
Burning clothing, all metallic objects like rings, jewelry, watches should be
removed as they retain heat and also produce tourniquet effect later
Water must be poured directly over burnt areas taking care to avoid
hypothermia.
17. Initial assessment & treatment
Primary survey ; A. B. C
AIRWAY with C-spine immobilization, BREATHING,
CIRCULATION
DETERMINE the associated life threatening conditions like
obstructed airway, cardiac arrythmias etc
Initiate fluid resuscitation with two large bore I.V. canulas
Place urinary & nasogastric catheters.
Order appropriate Radiolaogic & laboratory investigations
18. Secondary survey
Perform head to toe physical examination
Record a detailed burn diagram
Administer analgesics intravenously
Administer tetanus prophylaxis
Cover the wounds
Evaluate & perform escharotomies & fasciotomies.
Consider transfer to other facility as necessary
20. Local treatment
Wound care :
Prompt excision of necrotic tissue & immediate cover of
wounds is essential to prevent wound infection.
Frequent assessment of burns wound depth.
Burns wound depth may increase in post burn period.
Individualized care plan within 1st week.
21. Burn wound dressing
3 principal functions:
a. Protective: physical barrier: prevents contamination.
b. Metabolic :reduce evaporative heat loss .minimizes cold stress.
c. Comfort : reduces pain & maintains limb in functional position
Full thickness burns- antibacterial dressing to delay colonization
Superficial burns- simple dressing with sterile Vaseline gauze,
bandages & adequate splints
Daily dressing change twice or thrice
Removal of necrotic debris & Saline wash
Swab should be taken regularly
22. Wound care plan
First degree:
Requires no dressing .
Topical antibiotic soaks to reduce infection.
Second degree (superficial):
Daily dressing with topical antibiotic .
Second degree (deep) & third degree:
Tangential wound excision & skin grafting for buns > 20 % TBSA
<20 %: regular dressing & later grafting
Fourth degree:
Wound excision & flap repair/amputation .
23. Inhalational injuries
Most often in burns in enclosed spaces & blast injuries, mucosal injuries of
naso & oropharynx
Hoarseness & stridor upper airway injury.
Wheezing & dyspnea lower airway injury.
3 mechanisms:
CO poisoning: more affinity to Hb with CNS, CVS depression.
Direct thermal injury: causes obstruction due to edema.
Chemical injury: cyanides, aldehydes produce alveolar injury.
24. Removing person from closed environment.
Secure airway: Intubation
Chest X Ray, ABG, Fibro- optic Bronchoscopy
Provide 100% oxygen single most effective therapy.
Bronchodilation & chest physiotherapy
Fluid requirement: ↑ insensible loss,1.5 times of usual
requirement is needed.
Antibiotics : in pneumonia
ICU management in ARDS
Management of INHALATIONAL INJURIES
25. Electrical Injuries
3-5 % of all burns.
Electrical Current passes thro areas of least resistance:
Nerves, muscles & vessels maximal damage
Skin & bone offer high resistance spared.
Visible areas of tissue necrosis represent only small % of destroyed tissue
Major injury is deep & invisible.
Vessels undergo progressive occlusion due to thrombosis causing further
ischemia.
26. Management of Electrical Injuries
Safe removal from electrical source.
Immediate CPR in high voltage burns.
Cardiac monitoring by ECG :24-72 hrs post injury
Aggressive fluid management despite relatively small external
burns to prevent ATN
Skin flaps rather than skin grafts is necessary
Amputation in unsalvageable limbs
