This document provides information on burns, including causes, assessment, treatment and prevention. Burns are injuries caused by heat, chemicals, electricity or radiation. Assessment involves checking the airway, breathing, circulation, disability and exposure. Treatment depends on the severity and depth of the burn, and may include cleaning, dressing and fluid replacement. Deeper burns require specialist care. Prevention strategies include smoke alarms, fire safety education, and safe cooking and electrical practices.
Definition of Triagea
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the . Right patient to the
Right place at the
Right time with the
Right care provider
Management of-unconscious-patient
Definition of unconsciousness
Common causes
Diagnosis and treatment of unconscious patient
Unconsciousness is a state in which a patient is totally unaware of both self and external surroundings, and unable to respond meaningfully to external stimuli.
BURN - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject is Medical Surgical Nursing - II & Topic is Burn, Presented by Mohammed Haroon Rashid Basci B.Sc Nursing 3rd Year in Florence College of Nursing
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
A burn is a type of injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or radiation. Most burns are due to heat from hot liquids, solids, or fire. While rates are similar for males and females the underlying causes often differ.
Definition of Triagea
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the . Right patient to the
Right place at the
Right time with the
Right care provider
Management of-unconscious-patient
Definition of unconsciousness
Common causes
Diagnosis and treatment of unconscious patient
Unconsciousness is a state in which a patient is totally unaware of both self and external surroundings, and unable to respond meaningfully to external stimuli.
BURN - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject is Medical Surgical Nursing - II & Topic is Burn, Presented by Mohammed Haroon Rashid Basci B.Sc Nursing 3rd Year in Florence College of Nursing
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
A burn is a type of injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or radiation. Most burns are due to heat from hot liquids, solids, or fire. While rates are similar for males and females the underlying causes often differ.
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.
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 :)
Iv fluid therapy (types, indications, doses calculation)kholeif
All what you need to know intravenous fluids, types, indications, contraindications, how to calculate fluid rate and drug dosages.
Embed code (http://www.slideshare.net/slideshow/embed_code/16138690)
"Understanding Burns: A Comprehensive Overview"
This presentation provides a comprehensive overview of burns, covering their classification, causes, symptoms, and treatment options. From minor burns to severe injuries, we explore the various degrees of burns and the associated complications. Additionally, we delve into preventive measures and first aid techniques for burn management. Whether you're a healthcare professional or simply interested in learning more about burns, this presentation offers valuable insights into this common yet often misunderstood injury.
Burns are one of the most common household injuries, especially among children. The term “burn” means more than the burning sensation associated with this injury. Burns are characterized by severe skin damage that causes the affected skin cells to die.
Definition of sepsis and septic shock.
The new definition of sepsis 2016 conference.
SIRS, SOFA, QSOFA
Most common pathogen causing sepsis.
Pathogenesis and pathophysiology of sepsis
Biomarkers for detection of sepsis and septic shock
Preseason, sCD14 Subtype marker
Comparison of Procalcitonin and CRP with presepsin.
Mechanism of presepsin detection.
Management of sepsis.
Food hygiene - سلامة الأغذية
تعريف سلامة الأغذية.
أهمية سلامة الأغذية.
العناصر الأساسية لسلامة الأغذية.
أضرار إعادة تسخين الطعام.
الأمراض المنقولة بسبب الغذاء.
الأسباب الرئيسية للأمراض المنقولة بواسطة الغذاء.
العوامل المؤثرة على نمو البكتريا في الأغذية.
أعراض الأمراض الشائعة والمنقولة عن طريق الأطعمة.
فساد الأغذية.
العلامات الدالة على فساد الأغذية.
العوامل التي تسهم في ظهور التسمم الغدائي.
احتياطات الصحة العامة الواجب اتباعها.
العسل ؛ الغذاء الأغنى، الأشهى، والمقاوم للفساد.
حقيقة أم خرافة؟
الإسبوع العالمي للتوعية بالمضادات الحيوية - World antibiotic awareness weekAhmed Al-Abadlah
World antibiotic awareness week - 2016
الإسبوع العالمي للتوعية بالمضادات الحيوية
Gaza - Palestine.
Arabic, Antibiotic, World antibiotic awareness week, الاسبوع العالمي للتوعية ، المضادات الحيوية , د. عبد الرؤوف المناعمة, مشروع الميكروبات الإلكتروني - فلسطين
التوعية العالمية للمضادات
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
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.
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Burns - Assessment and Management
1. Burns - Assessment and Management
A burn is an injury caused by thermal, chemical, electrical, or radiation energy.
Most burns heal without any problems but complete healing in terms of cosmetic outcome
is often dependent on appropriate care, especially within the first few days after the burn.
Most simple burns can be managed in primary care but complex burns and all major burns
warrant a specialist and skilled multidisciplinary approach for a successful clinical outcome.
Risk factors
Highest rates are seen in children under the age of 5 and the elderly
over the age of 75.
About 50% of burns and scalds occur in the kitchen.
Assess:
Airway
Breathing: beware of inhalation and rapid airway
compromise
Circulation: fluid replacement
Disability: compartment syndrome
Exposure: percentage area of burn.
Essential management points:
Stop the burning
ABCDE
Determine the percentage area of burn (Rule of 9’s)
Good IV access and early fluid replacement.
The severity of the burn is determined by:
Burned surface area
Depth of burn
Other considerations.
Rule of 9’s
Rule of 9s’ is used to determine the total percentage
of area burned, for each major section of the body.
In some cases, the burns may cover more than
In such cases, burns are measured by using the palm
of the casualty as a reference point for 1% of the body.
2. TYPES OF BURNS
1. Thermal: exposure to flame or a hot object
2. Chemical: exposure to acid, alkali or organic substances
3. Electrical: result from the conversion of electrical energy into heat. Extent of injury depends
on the type of current, the pathway of flow, local tissue resistance, and duration of contact
4. Radiation: result from radiant energy being transferred to the body resulting in production of
cellular toxins
Types of Burn Injury
Thermal Flash - Explosions ofnatural gas,propane,gasoline and other flammable
liquids. Intense heatfor a very brief period of time. Clothing is protective unless it
ignites.
Flame - Exposure to prolonged,intense heat. House fires,improper use offlammable
liquids,automobile accidents,ignited clothing from stoves/heaters.
Scalds - Burns caused by hot liquids. Water, oil, grease,tar, oil.Water at 140 degrees
F, creates a deep burn in 3 seconds,butat 156 degrees Fwill cause the same injuryin 1
second. (Coffee is 180 degrees Fjustbrewed). Circumferential burns should raise
suspicion ofnon-accidental trauma. Tar needs to be removed either with an adhesive
remover solution or petroleum based dressings.
Contact - Resultfrom hot metals,plastics,glass or coals.Can be very deep.
Chemical Caused by strong acids or alkali substances. They continue to cause damage until the
agentis inactivated. Alkali substances usuallycause more severe injurysince they react
with the lipids in the skin.
Electrical Caused by either AC or DC current. Current follows the path of leastresistance and
causes injuryin areas other than the contact/entry site. They cannotbe judged from the
external injury alone. High voltage > 1,000 volts, low voltage < 1,000 volts and
lightening. Electrical burns are thermal burns from very high heat.
Radiological Caused by alpha,beta or gamma radiation. They may need to have some type of
decontamination done to stop the injury.
3. Burn Classification
Determining burn depth is important. Things to consider are temperature, mechanism, duration of
contact, blood flow to skin, and anatomic location. Epidermal depth varies with body surface, which
can offer varying degrees of thermal protection. Older adults and young children also have thinner
skin.
First degree:
- Includes only the outer layer of skin, the epidermis
- Skin is usually red and very painful
- Equivalent to superficial sunburn without blisters
- Dry in appearance
- Healing occurs in 3-5 days, injured epithelium peels away from the healthy skin
- Hospitalization is for pain control and maybe fluid imbalance
Second degree (classified as partial or full thickness).
Partial thickness
- Blisters can be present
- Involve the entire epidermis and upper layers of the dermis
- Wound will be pink, red in color, painful and wet appearing
- Wound will blanch when pressure is applied
- Should heal in several weeks (10-21 days) without grafting, scarring is usually minimal
Full thickness
- Can be red or white in appearance, but will appear dry.
- Involves the destruction of the entire epidermis and most of the dermis
- Sensation can be present, but diminished
- Blanching is sluggish or absent
- Full thickness will most likely need excision & skin grafting to heal
Third degree:
- All layers of the skin is destroyed
- Extend into the subcutaneous tissues
- Areas can appear, black or white and will be dry
- Can appear leathery in texture
- Will not blanch when pressure is applied
4. First Second
(Superficial or Deep)
Third (Full Thickness)
Depth (how
deep the burn
is)
Epithelium Epithelium and top aspects
of the dermis
Epithelium and dermis
How the wound
looks
No blisters;drypink Moist, oozing blisters;
Moist, white, pink, to red
Leathery, dry, no elasticity;
charred appearance
Causes Sunburn,scald,flash
flame
Scalds,flash burns,
chemicals
Contact with flame,hot surface,
hot liquids,chemical,electric
Level of Pain
(sensation)
Painful,tender, and
sore
Very painful Very little pain,or no pain
Healing Time Two to five days;
peeling
Superficial:five to 21 days.
Deep:21-35 days
Small areas maytake months to
heal;large areas need grafting.
Scarring No scarring;may
have discoloration
Minimal to no scarring;
may have discoloration
Scarring present
Symptoms
Blisters
Pain (The degree of pain is not related to the severity of the burn, as the most
serious burns can be painless.)
Peeling skin
Red skin
Shock (Symptoms of shock include pale and clammy skin, weakness, bluish lips
and fingernails, and a drop in alertness.)
Swelling
White or charred skin
5. First Aid
If the patient arrives at the health facility without first aid having been given,
drench the burn thoroughly with cool water to prevent further damage and
remove all burned clothing.
If the burn area is limited, immerse the site in cold water for 30 minutes to
reduce pain and oedema and to minimize tissue damage.
If the area of the burn is large, after it has been doused with cool water, apply
clean wraps about the burned area (or the whole patient) to prevent systemic
heat loss and hypothermia.
Hypothermia is a particular risk in young children.
First 6 hours following injury are critical; transport the patient with severe burns
to a hospital as soon as possible.
Initial treatment
Initially, burns are sterile. Focus the treatment on speedy healing and
prevention of infection.
In all cases, administer tetanus prophylaxis.
Except in very small burns, debride all bullae. Excise adherent necrotic (dead)
tissue initially and debride all necrotic tissue over the first several days.
After debridement, gently cleanse the burn with 0.25% (2.5 g/litre)
chlorhexidine solution, 0.1% (1 g/litre) cetrimide solution, or another mild
waterbased antiseptic.
Do not use alcohol-based solutions.
Gentle scrubbing will remove the loose necrotic tissue. Apply a thin layer of
antibiotic cream (silver sulfadiazine).
Dress the burn with petroleum gauze and dry gauze thick enough to prevent
seepage to the outer layers.
DO NOT
Do NOT apply ointment, butter, ice, medications, cream, oil spray, or any
household remedy to a severe burn.
Do NOT breathe, blow, or cough on the burn.
Do NOT disturb blistered or dead skin.
Do NOT remove clothing that is stuck to the skin.
Do NOT give the person anything by mouth, if there is a severe burn.
Do NOT immerse a severe burn in cold water. This can cause shock.
Do NOT place a pillow under the person's head if there is an airways burn. This
can close the airways.
6. When to Contact a Medical Professional
if:
The burn is extensive (the size of your palm or larger).
The burn is severe (third degree).
You aren't sure how serious it is.
The burn is caused by chemicals or electricity.
The person shows signs of shock.
The person inhaled smoke.
Physical abuse is the known or suspected cause of the burn.
There are other symptoms associated with the burns:
Call a doctor if your pain is still present after 48 hours.
Call immediately if signs of infection develop. These signs include increased pain,
redness, swelling, drainage or pus from the burn, swollen lymph nodes, red streaks
spreading from the burn, or fever.
Also call immediately if there are signs of dehydration: thirst, dry skin, dizziness,
lightheadedness, or decreased urination. Children, elderly, and anyone with a weakened
immune system (for example, HIV) should be seen right away.
Prognosis
Will depend on depth of burn and the body surface area affected.
Superficial burns usually heal within two weeks without surgery.
Risk factors for death include age over 60 years, more than 40% of body surface
area affected and inhalation injury.
Death may result from severe extensive burns or electric shock.
Nutrition
Patient’s energy and protein requirements will be extremely high due to the
catabolism of trauma, heat loss, infection and demands of tissue regeneration.
If necessary, feed the patient through a nasogastric tube to ensure an
adequate energy intake (up to 6000 kcal a day).
Anaemia and malnutrition prevent burn wound healing and result in failure of
skin grafts. Eggs and peanut oil and locally available supplements are good.
7. Prevention
To help prevent burns:
Install smoke alarms in your home. Check and change batteries regularly.
Teach children about fire safety and the hazards of matches and fireworks.
Keep children from climbing on top of a stove or grabbing hot items like irons and
oven doors.
Turn pot handles toward the back of the stove so that children can't grab them and
they can't be accidentally knocked over.
Place fire extinguishers in key locations at home, work, and school.
Remove electrical cords from floors and keep them out of reach.
Know about and practice fire escape routes at home, work, and school.
Set temperature of water heater at 120 degrees or less.