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management of a burn patient
1. Burn management involves rescuing and resuscitating the patient, then focusing on wound care, prevention of complications, and rehabilitation.
2. Key principles include airway management, fluid resuscitation, wound cleaning and coverage, nutrition, and physiotherapy.
3. Burn care proceeds through emergent, acute, and rehabilitation phases, with priorities like fluid resuscitation in the initial phase and wound closure in later phases.
Fluid resuscitation burns 2009
This document discusses fluid resuscitation for thermally injured patients. It provides historical context on developments in fluid resuscitation since the 1940s, including the influential Parkland formula from 1967. However, recent studies show modern clinicians often provide fluid volumes exceeding recommendations, resulting in complications from excess fluid or "fluid creep". Current research focuses on minimizing fluid creep through tighter fluid control, earlier colloid use, and hypertonic saline. The document then reviews the pathophysiology of burn shock and edema formation to understand challenges in fluid resuscitation.
Shock 2015
Este documento presenta 4 casos clínicos de pacientes que podrían estar en shock. Describe los signos vitales, antecedentes y hallazgos de cada paciente. También incluye definiciones de shock, clasificaciones de shock, fisiopatología, presentación clínica, detección precoz y reconocimiento rápido de la causa de shock.
Copd and asthma
The document discusses respiratory diseases chronic obstructive pulmonary disease (COPD) and asthma. It defines COPD as a chronic, progressive lung disease characterized by breathlessness and airflow limitation. The two main components of COPD are chronic bronchitis and emphysema. Smoking is the primary cause of COPD. Symptoms include dyspnea, cough, and sputum production. Diagnosis involves spirometry and blood gas tests. Treatment focuses on smoking cessation, bronchodilators, antibiotics, and oxygen therapy. The document also defines asthma as a condition of bronchial hyperresponsiveness causing wheezing, coughing, and dyspnea. It discusses the extrinsic and intrinsic types and their triggers. Sympt
Fluidoterapia y monitoreo 2015
Este documento describe el metabolismo del agua en el cuerpo humano, incluyendo los compartimentos de líquidos intracelulares y extracelulares. También explica conceptos como osmolaridad, equilibrio hídrico, factores que estimulan la liberación de hormona antidiurética, y regulación del volumen extravascular. Por último, detalla el plan de hidratación, incluyendo valoración del estado de hidratación, cálculo de requerimientos, y uso de diferentes soluciones.
Apendicitis
Anatomia, fisiología, etiologia, posición del apendice, manifestaciones clinicas tempranas y tardias, etiopatogenia, examen fisico y signos de apendicitisfisiopatología, etapas de la apendicitis, diagnostico, tratamiento quirurgico, Clasificacion.
Pericarditis 2015
Un paciente de 25 años presentó dolor torácico agudo de 5 horas de duración. Los exámenes mostraron frote pericárdico, elevación del ST en el ECG, y dolor que mejoraba al sentarse. Esto sugiere un diagnóstico de pericarditis aguda viral idiopática, la cual requiere tratamiento con AINES y colchicina.
Manejo de shock hipovolemico
Este documento describe los componentes generales del tratamiento para el shock, incluyendo la posición del paciente, administración de oxígeno, acceso vascular, resucitación con líquidos, monitoreo y reevaluación, estudios complementarios, soporte farmacológico y la importancia de consultar a un especialista. El objetivo principal del tratamiento es restaurar el volumen intravascular a través de la administración rápida de cristaloides y transfusiones de sangre para corregir la hipoperfusión de los tejidos.
Acidosis metabolica 2015
La acidosis metabólica se define como una acidemia causada por una disminución primaria del bicarbonato sérico. Puede ser causada por un aumento en la generación de ácidos, una pérdida de bicarbonato o una disminución en la excreción renal de ácidos. Presenta efectos sistémicos como alteraciones cardiovasculares, neurológicas y respiratorias. Su tratamiento implica controlar la causa subyacente y, en algunos casos, la administración de bicarbonato de sodio para corregir la
Electrocardiograma en iam 2015
Este documento proporciona información sobre el electrocardiograma (ECG) en el infarto agudo de miocardio (IAM). Explica los cambios agudos que pueden verse en el ECG de un paciente con IAM, incluida la elevación del segmento ST, las ondas Q patológicas y los cambios recíprocos. También describe cómo la localización anatómica del IAM se puede deducir del ECG y cómo los cambios en el ECG evolucionan con el tiempo desde el inicio del evento isquémico.
Patient Safety
Lecture about patient safety, international safety goals and patient safety in egyptian standards in training course of Building Capacity for Quality Improvement Team for General Organization of Teaching Hospitals and Institutes.
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management of a burn patient
1. Burn management involves rescuing and resuscitating the patient, then focusing on wound care, prevention of complications, and rehabilitation.
2. Key principles include airway management, fluid resuscitation, wound cleaning and coverage, nutrition, and physiotherapy.
3. Burn care proceeds through emergent, acute, and rehabilitation phases, with priorities like fluid resuscitation in the initial phase and wound closure in later phases.
Fluid resuscitation burns 2009
This document discusses fluid resuscitation for thermally injured patients. It provides historical context on developments in fluid resuscitation since the 1940s, including the influential Parkland formula from 1967. However, recent studies show modern clinicians often provide fluid volumes exceeding recommendations, resulting in complications from excess fluid or "fluid creep". Current research focuses on minimizing fluid creep through tighter fluid control, earlier colloid use, and hypertonic saline. The document then reviews the pathophysiology of burn shock and edema formation to understand challenges in fluid resuscitation.
Shock 2015
Este documento presenta 4 casos clínicos de pacientes que podrían estar en shock. Describe los signos vitales, antecedentes y hallazgos de cada paciente. También incluye definiciones de shock, clasificaciones de shock, fisiopatología, presentación clínica, detección precoz y reconocimiento rápido de la causa de shock.
Copd and asthma
The document discusses respiratory diseases chronic obstructive pulmonary disease (COPD) and asthma. It defines COPD as a chronic, progressive lung disease characterized by breathlessness and airflow limitation. The two main components of COPD are chronic bronchitis and emphysema. Smoking is the primary cause of COPD. Symptoms include dyspnea, cough, and sputum production. Diagnosis involves spirometry and blood gas tests. Treatment focuses on smoking cessation, bronchodilators, antibiotics, and oxygen therapy. The document also defines asthma as a condition of bronchial hyperresponsiveness causing wheezing, coughing, and dyspnea. It discusses the extrinsic and intrinsic types and their triggers. Sympt
Fluidoterapia y monitoreo 2015
Este documento describe el metabolismo del agua en el cuerpo humano, incluyendo los compartimentos de líquidos intracelulares y extracelulares. También explica conceptos como osmolaridad, equilibrio hídrico, factores que estimulan la liberación de hormona antidiurética, y regulación del volumen extravascular. Por último, detalla el plan de hidratación, incluyendo valoración del estado de hidratación, cálculo de requerimientos, y uso de diferentes soluciones.
Apendicitis
Anatomia, fisiología, etiologia, posición del apendice, manifestaciones clinicas tempranas y tardias, etiopatogenia, examen fisico y signos de apendicitisfisiopatología, etapas de la apendicitis, diagnostico, tratamiento quirurgico, Clasificacion.
Pericarditis 2015
Un paciente de 25 años presentó dolor torácico agudo de 5 horas de duración. Los exámenes mostraron frote pericárdico, elevación del ST en el ECG, y dolor que mejoraba al sentarse. Esto sugiere un diagnóstico de pericarditis aguda viral idiopática, la cual requiere tratamiento con AINES y colchicina.
Manejo de shock hipovolemico
Este documento describe los componentes generales del tratamiento para el shock, incluyendo la posición del paciente, administración de oxígeno, acceso vascular, resucitación con líquidos, monitoreo y reevaluación, estudios complementarios, soporte farmacológico y la importancia de consultar a un especialista. El objetivo principal del tratamiento es restaurar el volumen intravascular a través de la administración rápida de cristaloides y transfusiones de sangre para corregir la hipoperfusión de los tejidos.
Acidosis metabolica 2015
La acidosis metabólica se define como una acidemia causada por una disminución primaria del bicarbonato sérico. Puede ser causada por un aumento en la generación de ácidos, una pérdida de bicarbonato o una disminución en la excreción renal de ácidos. Presenta efectos sistémicos como alteraciones cardiovasculares, neurológicas y respiratorias. Su tratamiento implica controlar la causa subyacente y, en algunos casos, la administración de bicarbonato de sodio para corregir la
Electrocardiograma en iam 2015
Este documento proporciona información sobre el electrocardiograma (ECG) en el infarto agudo de miocardio (IAM). Explica los cambios agudos que pueden verse en el ECG de un paciente con IAM, incluida la elevación del segmento ST, las ondas Q patológicas y los cambios recíprocos. También describe cómo la localización anatómica del IAM se puede deducir del ECG y cómo los cambios en el ECG evolucionan con el tiempo desde el inicio del evento isquémico.
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Shock 2015
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This document discusses the management of burns in the emergency room. It describes the types of burns as thermal or chemical burns. It also discusses methods to estimate burn extent using the Lund-Browder chart or rule of nines. The burn depth is classified as superficial-thickness, superficial partial-thickness, deep partial-thickness, full thickness, or deep full-thickness based on the injury to skin layers. Pathophysiology includes local responses like blistering and edema as well as systemic responses like increased metabolism and catabolism.
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El documento describe la anatomía del apéndice, los tipos y clasificaciones de apendicitis, así como los síntomas, signos y pruebas de diagnóstico para la apendicitis aguda. Explica que la apendicitis es una inflamación del apéndice que requiere tratamiento quirúrgico urgente y que su cuadro clínico incluye dolor abdominal agudo que migra hacia la fosa ilí
Pathophysiology, Nutritional Management of BURNS
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This document provides an overview of burn injuries including:
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2. Classification of burns by depth and severity. Thermal burns can cause damage from coagulation to hyperemia.
3. Management of burns focuses on airway control, fluid resuscitation using formulas like Parkland, and wound care including escharotomy, fasciotomy, and debridement.
Unit 2 management of patients with burn
This document summarizes the pathophysiology and classification of burns. It describes how burns are caused by thermal, radiation or chemical injury, leading to tissue destruction. Burn depth is classified as superficial, deep partial thickness, or full thickness depending on the extent of epidermal and dermal damage. Burn extent is estimated using methods like the Rule of Nines or Lund-Browder chart based on percentage of total body surface area affected. Classification determines burn management and predicts healing outcomes.
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This document discusses the management of burn patients. It notes that in Australia from 1997-2005, the rate of burn-related deaths was 0.5 per 100,000 people and hospitalization rates for fire, burn, and scald injuries was 31.9 per 100,000 per year. During 2001-02, burns and scalds accounted for over 6,000 hospitalizations costing $132 million. The document then covers classifications of burns, first aid, fluid resuscitation protocols, monitoring burn patients, determining burn depth and wound management, as well as scar management. It emphasizes the importance of a multidisciplinary team approach in treating burn patients.
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