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Luka Bakar
Luka Bakar
Inhalation injury
Clinical indication :
Carbonaceous sputum
Facial burn
Hair ?
Carbon deposit
In ?
Oropharynx
History
CO Hb > 10 %
Prevent hypothermia
Establish 2 large caliber IV line
Initiate warmed RL sol
of injury
Associated illness
Allergies
Tetanus status
Rule of nine
ADULT Posterior & anterior
INFANT
Palm surface 1 % BSA
Illustrasi.
Depth of bur
Illustrasi picture
:
:
30 50 cc / hour
1,0 cc/ kg BB / hour
Burn management
gastric intubation
Nausea, vomiting, distention
Burn > 20 % BSA
Medication :
- narcotis minimal use, IV only
- antibiotics NOT indicated early
Burn management
electrical burn
* Result in damage to fascia and muscle and may spare the
overlying skin
* Fasciotomy needs
* A B C D E s
* Myoglobinuria : fluid
Burn transfer
criteria
* II and III degree burn :
- 10 % BSA in ages < 10 and > 50 years
- > 20 % BSA
- To face
eyes
ears
hands
feet
genitalia
perineum
major joint
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