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Burns PowerPoint Presentation

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Description : Check out this medical presentation on Skin Injury, which is titled "Burns", to know about the skin, types of burns, burn management (Burns andAssociated bits), and tips for children.

Tags : Skin Injury, Burns, types of burns, burn management

Published on : Jul 05, 2021 | Views : 8170 | Downloads : 69

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Slide 1-

Burns East of England CT3 Days
Slide 2-

Burns - aims Skin Types of burns Management Burns Associated bits Tips for children
Slide 3-

What difference does skin make? Function of skin Thermoregulation Fluid conservation Protection Immune Physical Flexibility / movement
Slide 4-

Skin thickness Superficial Partial Thickness Full . . .
Slide 5-

What is a burn? Burn Scald Chemical Electrical Inhalation Other injuries Tetanus
Slide 6-

Superficial – erythema (sunburn) Partial thickness – Pink Blistered White - sensate Full thickness – Charred Waxy white Insensate
Slide 7-

Treatment (First Aid) A Airway B Ventilation C Fluid replacement D E Special considerations
Slide 8-

Airway & Breathing Loss of hair & eyebrows Singed nasal hairs Soot stained nose / lips Confinement with fire Blistered lips Circumferential neck burns Mucosal erythema Hoarse voice / stridor COHb
Slide 9-

Carbon Monoxide Unexplained obtundation “Cherry Red Lips” Toxicity Varies >10% indicates toxicity Chronis vs Acute ?HBO Cyanide?
Slide 10-

C - Fluid loss Replace fluid loss from time of injury Adults and children Hartman’s solution Equation... BSA Parkland formula… Maintenance fluids
Slide 11-

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Slide 12-

Superficial Partial thickness Full thickness Total 3.5% Or… Size of flat palm = 1%
Slide 13-

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Slide 14-

Shock >15% (Adult) >10% (Child) Resuscitation Maintenance
Slide 15-

Parkland formula 4ml / kg / %burn over 24hrs… = 2 ml x kg x %burn over 8hrs + 2ml x kg x %burn over 16hrs Add in maintenance fluids 4ml / kg / hr for first 10kg 2 ml / kg / hr for next 10 kg 1 ml / kg / hr for rest of weight
Slide 16-

Example 10kg child with 8% burns 60ml / hr for 8 hrs = 20ml / hr plus 40 ml/hr maintenance 50ml / hr for 16 hrs = 10ml / hr plus 40 ml/hr maintenance Clinical parameters
Slide 17-

Treatment (First Aid) A Airway B Ventilation C Fluid replacement D Other injuries E Exposure Simultaneously Stop the burn / constriction Pain management Dressings... Tetanus?? Safeguarding
Slide 18-

Analgesia Assessment and reassessment Pain ladder… Opiates Intra-nasal diamorphine Intravenous morphine Oramorph? Oral analgesia Non-drug methods
Slide 19-

Debridement? Deroofing Smaller than patient’s little fingernail Aseptic technique: Forceps & scissors Clean with dilute chlorhexidine Dressing Why Decreases infection Analgesia Fluid lost in a controlled way
Slide 20-

Dressings?
Slide 21-

Special Considerations Joints Circumferential burns Hands / Feet / Perineum / Face Other Injuries Inhalation of CO / CN Cyanokit HBO?
Slide 22-

Follow-Up “Major Burns” – Referral to 3° centre “Consider” if >1% partial thickness Special considerations Minor Burns By local arrangement Less than 10% BSA Demarcation / Healing Late referral Not healing (> 2 weeks) Depth Unwell
Slide 23-

Referral criteria Referral criteria – unwell patients Fluid management Sepsis / TSS Useful telephone numbers
Slide 24-

Tetanus Tet Tox Basic course Boosters Exceptions Tetanus prone wounds Immunoglobulin
Slide 25-

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Slide 26-

Sepsis Toxic Shock Staph aureus or strep pyogenes Temperature>38°C Rash D&V Unwell What are the subtle signs? Poor appetite Listless “just not right”
Slide 27-

Safeguarding Red flags Multiple ages / delay to presentation Changing or bizarre history Child’s history Multiple presentations Parental “pathology” Interaction Register
Slide 28-

Safeguarding Patterns of injury Clear imprints Cig burns Dunking Depth inconsistent with history Who do you inform?
Slide 29-

Questions?
Slide 30-

Summary Treat first, question later ABC Analgesia & fluids Special considerations Tetanus Safeguarding http://www.lsebn.nhs.uk/