4499

REHABILITACIÓN
)LVLRWHUDSLD\7HUDSLDRFXSDFLRQDOHQOD
*X®DGH3U¢FWLFD&O®QLFDGHOD$VRFLDFL´Q
(XURSHDGH4XHPDGRV
Mª Eugenia Amado Vázquez10DUFHOR&KRX]D,QVXD2
1
)LVLRWHUDSHXWD;HUHQFLDGH;HVWL´Q,QWHJUDGD$&RUX²D$&RUX²D(VSD²D
1
([SHUWRHQRUWRSHGLD\D\XGDVWªFQLFDVSRUOD8QLYHUVLGDG&RPSOXWHQVHGH0DGULG
2
'LSORPDGRHQ)LVLRWHUDSLD'RFWRUSRUOD8QLYHUVLGDGGH$&RUX²D
1,2
3URIHVRU7LWXODU)DFXOWDGGH)LVLRWHUDSLD8QLYHUVLGDGGH$&RUX²D(VSD²D
e-mail: amado@udc.es

$K O@R@CN @¬N RD OTAKHB® K@ &T¨@ CD OQœBSHB@ de los tratamientos.
BK¨MHB@ O@Q@ DK BTHC@CN CDK O@BHDMSD PTDL@- +@ PTDL@CTQ@ BNLN SQ@TL@ BNLOKDIN MDBD-
CN(XURSHDQ3UDFWLFH*XLGHOLQHVIRU%XUQ&DUH sita terapia multidisciplinar continua. Respec-
:"/&<DMK@PTDRD@M@KHY@DKO@ODKCDK@%HRHN- SN @K DPTHON HMSDQCHRBHOKHM@Q ODQSDMDBHDMSD @
SDQ@OH@XK@3DQ@OH@.BTO@BHNM@KDMDKL@MDIN K@ 4MHC@C CD 1DG@AHKHS@BH®M K@ "/& BNMBQDS@
CD CHBGN O@BHDMSD  $M DRSD @QS¨BTKN OQDRDMS@- PTD KNR OQNEDRHNM@KDR CDK LHRLN CDADM DR-
LNRTMQDRTLDMCDK@RQDBNLDMC@BHNMDRPTD S@Q@RHFM@CNRODQL@MDMSDLDMSD@KDPTHONCD
DMDKK@RDQDBNFDM 0TDL@CNRBNM@KLDMNRTM@¬NCDDWODQHDM-
$RS@CDRBQHOBH®MFDMDQ@KCDK@RCHQDBSQHBDRCD BH@BK¨MHB@XBNMSQ@S@LHDMSN@KO@BHDMSDS@MSN
la European Burns Association $!  MNR AQHM- HMFQDR@CNBNLN@LATK@SNQHN 
C@ K@ LDINQ HMENQL@BH®M CHRONMHAKD NASDMHC@ $KNAIDSHUNOQHMBHO@KCDK@%HRHNSDQ@OH@DMPTD-
CDDRSTCHNRBK¨MHBNRBNMBQDSNRBNMSQHATXDMCN L@CTQ@RDRDKSQ@S@LHDMSNXOQDUDMBH®MCDSN-
RHFMHƥB@SHU@LDMSD@K@@BST@KHY@BH®MXLDINQ@ C@R K@R BNLOKHB@BHNMDR QDRODBSN @ K@ ETMBH®M
 5500

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN
CD LNUHKHC@C HMCDODMCDMBH@ X B@O@BHS@BH®M MT@CN
 $M KNR MH¬NR PTDL@CNR DR HLOQDRBHM-
O@Q@K@R@BSHUHC@CDRCDK@UHC@CH@QH@CDROT¤R CHAKDK@HMRSQTBBH®MCDK@E@LHKH@O@CQDRXRT
CDK@KDRH®M
O@QSHBHO@BH®MDRETMC@LDMS@KHMBKTRNCDROT¤R
+@ %HRHNSDQ@OH@ CDAD HMHBH@QRD DM K@ E@RD LTX CDK@KS@GNROHS@K@QH@

SDLOQ@M@DMK@4MHC@CCD"THC@CNRHMSDMRHUNR $M"/&RDDRS@AKDBDMTMNR@O@QS@CNRO@Q@ƥ-
4"( BDMSQœMCNRD DM DK RHRSDL@ B@QCHNQDR-
OHQ@SNQHN QDCTBBH®M CD DCDL@R OQNƥK@WHR CD
CDBµAHSNXOQDUDMBH®MCDK@RBNMSQ@BSTQ@RCD
K@BHB@SQHYCDK@PTDL@CTQ@@BNLO@¬@MCNDM
SNCNDKOQNBDRNHMBKTRNCDROT¤RCDK@KS@GNR-
pitalaria.
/@Q@KNFQ@QDRSNRDDRS@AKDBDMTMNRNAIDSHUNR
RDBTMC@QHNR
$MQDK@BH®M@K@BHB@SQHYRDSQ@S@CD $KNAIDSHUNOQHMBHO@KDRLHMHLHY@QK@ENQL@BH®M
K@ OQDUDMBH®M  SQ@S@LHDMSN OQDRDQU@MCN XN
@TLDMS@MCN DK Q@MFN CD LNUHLHDMSN X ETDQ-
Y@LTRBTK@QBNMK@BNMRHFTHDMSDLDINQ@DMK@
elasticidad del tejido.

(MSDQUDMBHNMDR ƥRHNSDQ@OH@ QDROHQ@SNQH@ ONRH-
BHNM@LHDMSN E¤QTK@R LNUHKHY@BH®M CD SDIHCNR
AK@MCNR LNUHKHY@BH®M FQ@CT@K BNM DK L@MSD-
MHLHDMSN CDK Q@MFN @QSHBTK@Q LœWHLN ONRHAKD
XDIDQBHBHNSDQ@O¤TSHBNHRNL¤SQHBNRDIDQBHBHNR
@BSHUNRX@BSHUNR@RHRSHCNRDRSHQ@LHDMSNROQN-
OHNBDOBH®MBNMDMSQDM@LHDMSNCDDPTHKHAQHNX
BNNQCHM@BH®M
 tracturas.
/@Q@PTDTMOQNBDRNCDHMSDQUDMBH®MCD%HRHN-
SDQ@OH@RD@DEDBSHUNOQDBHR@SQ@S@LHDMSNBNMSH-
sioterapeutas y terapeutas ocupacionales res-
ODBSN@FDRSH®MCDDCDL@RONRHBHNM@LHDMSNX
E¤QTK@RL@MDINCDBHB@SQHBDRXK@LNUHKHY@BH®M
y ejercicio.
Edemas
Recomendaciones:
CDDCDL@X@XTC@Q@QDCTBHQKN@KLœWHLN
2D CDADM DLOKD@Q S¤BMHB@R @CDBT@C@R CD QD-
CTBBH®M CDK DCDL@ X ONQ BNMRHFTHDMSD O@Q@
QDCTBHQDKCNKNQK@QHFHCDYXK@BNMSQ@BSTQ@
Estos pueden incluir:
Ş ,NSHU@BH®M CD ONRHBHNM@LHDMSN BNLOQD-
RH®MXLNUHKHC@C@RNBH@C@BNMK@QDCTBBH®M
del edema.
Ş #HRD¬N CD OQNFQ@L@R O@Q@ LNUHLHDMSNR
@BSHUNRO@RHUNRCD@QSHBTK@BHNMDRXDWSQD-
LHC@CDRO@Q@LHMHLHY@QK@QHFHCDYXK@RBNM-
Ş %@AQHB@BH®MCDCHRONRHSHUNRO@Q@QDCTBHQDK
DCDL@ONQDIDLOKNDROTL@SDQLNOKœRSH-
 5511

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN
BNRMDNOQDMN Ş /NRHBHNM@LHDMSN CDROT¤R CD K@ BHQTF¨@ QD-
5@KNQ@BH®M.ARDQU@BHNMDRUHRT@KDR/@KO@BH®M BNMRSQTBSHU@ U@QH@AKD MN G@X BNMRDMRN
,DCHC@RBHQBTMEDQDMBH@KDR5NKTLDSQ¨@&NMHN- real.
LDSQ¨@XQ@MFNCDLNUHLHDMSN#HM@LNLDSQ¨@
%TDQY@LTRBTK@Q Cicatrices
Recomendaciones:
Posicionamiento y Férulas .AIDSHUNOQHMBHO@KDU@KT@BH®MBNMRS@MSDCDK@
Recomendaciones: DS@O@CDK@BHB@SQHY@BH®MCDK@GDQHC@DHCDMSH-
El objetivo principal es implementar un pro- ƥB@QDKLNLDMSN@CDBT@CNO@Q@HLOKDLDMS@Q
FQ@L@ CD ONRHBHNM@LHDMSN RDFTQN X NONQST- K@RS¤BMHB@RCDL@MDINCDBHB@SQHBDR +NRQDF¨-
MN O@Q@ DK O@BHDMSD BNM PTDL@CTQ@R CTQ@MSD menes y las modalidades de manejo de cicatri-
SNCNDKODQ¨NCNCDQDBTODQ@BH®M $RSNCDADQ¨@ ces deben implementarse teniendo en cuenta
HMBKTHQK@E@AQHB@BH®MCDCHRONRHSHUNRO@Q@BNKN- KNRE@BSNQDRCDKO@BHDMSDXCDKBTHC@CNQ #DADM
carlos donde sea apropiado. QD@KHY@QRDQDUHRHNMDRXQDDU@KT@BHNMDRODQH®CH-
RHLHRLN RD QDBNLHDMC@ PTD DK OQNEDRHNM@K B@RO@Q@LNMHSNQHY@QDKOQNFQDRN
BNLOQDMC@KNRETMC@LDMSNRCDK@E¤QTK@DHL- 5@KNQ@BH®M
OKDLDMSDTMQ¤FHLDMCDE¤QTK@@CDBT@CNO@Q@ Ş $RB@K@ CD BHB@SQHBDR CD 5@MBNTUDQ 522 
DUHS@Q K@ ENQL@BH®M CD BNMSQ@BSTQ@R C@¬NR DM ,¤SNCNCDDU@KT@BH®M$U@Kµ@U@QH@AKDR
K@RDRSQTBSTQ@R@M@S®LHB@RX@XTC@Q@KHMIDQSN U@RBTK@QHC@C @KSTQ@  FQNRNQ ƦDWHAHKHC@C X
NRTRSHSTSNCDK@OHDKXNBHDQQDCDK@GDQHC@ OHFLDMS@BH®M  +@ ODQBDOBH®M CDK O@BHDMSD
5@KNQ@BH®M.ARDQU@BH®MCDENQLHC@CDRFNMHN- de sus respectivas cicatrices no se toma en
LDSQ¨@XCNBTLDMS@BH®MDRBQHS@ BTDMS@O@Q@K@OTMST@BH®MFKNA@K
Evidencia de apoyo: Ş /.2 2 $RB@K@ CD DU@KT@BH®M CD BHB@SQHBDR
Ş 1DPTHRHSNRO@Q@E¤QTK@BNMRDMRNBK¨MHBN CDO@BHDMSDRXNARDQU@CNQDR
Ş #TQ@BH®MCDKTRNBNMRDMRNBK¨MHBN $K/.2 2HMBKTXDR¨MSNL@RRTAIDSHUNRCDCNKNQ
• Posicionamiento de varias partes del cuer- y prurito y se expande en el objetivo de da-
ONBNMRDMRNBK¨MHBN SNRB@OSTQ@CNRDMDK522 "NMRS@CDDRB@K@R
 52

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN

MTL¤QHB@R 2DU@KNQ@K@U@RBTK@QHC@COHFLDM- 2 2@KHMBKTHQK@NOHMH®MCDKO@BHDMSD

S@BH®M DRODRNQ QDKHDUD ƦDWHAHKHC@C X œQD@R Ş 3DQ@OH@CDOQDMC@CDBNLOQDRH®MOQœBSHB@
CD RTODQƥBHD D HMBNQONQ@ DU@KT@BHNMDR CDK A@R@C@ DM K@ DUHCDMBH@ DM K@ OQDUDMBH®M
O@BHDMSDDMS¤QLHMNRCDCNKNQOHB@Y®MBNKNQ CDK DMFQNR@LHDMSN CD BHB@SQHBDR CD PTD-
QHFHCDYFQNRNQX@KHUHN $K/.2 2DRK@µMHB@DR- L@CTQ@RFQ@UDR $KMHUDK®OSHLNCDOQDRH®M
B@K@PTDBNMRHCDQ@R¨MSNL@RRTAIDSHUNRCDCN- RHFTD RHDMCN CHRBTSHAKD ODQN BT@MSN LœR
KNQXOQTQHSNODQNBNLNNSQ@RDRB@K@RS@LAH¤M @KSN RD@ DK MHUDK @OKHB@CN X BT@MS@R LœR
B@QDBDCDETMBHNM@KHC@C GNQ@R RD@ TR@C@ K@ OQDMC@ CTQ@MSD DK C¨@
Ş .ARDQU@BHNMDRFQ@A@C@R LDINQDR RDQœM KNR QDRTKS@CNR BK¨MHBNR PTD
Ş %NSNFQ@E¨@CHFHS@K RDNASDMF@M
$RB@K@ @M@K®FHB@ UHRT@K 5 2 $K 5 2 LTKSHCH- Ş 3DQ@OH@CDRHKHBNM@BNMRDMRNA@R@CNDMK@
mensional es una escala derivada de la eva- DUHCDMBH@O@Q@KœLHM@RCDFDKDMK@OQDUDM-
KT@BH®MDRS@MC@QHY@C@CDENSNFQ@E¨@RCHFHS@KDR BH®MXDKSQ@S@LHDMSNCDBHB@SQHBDRGHODQSQ®-
DM  CHLDMRHNMDR OHFLDMS@BH®M U@RBTK@QH- ƥB@RDMFDMDQ@K
C@C @BDOS@AHKHC@C X BNLNCHC@C CDK NARDQ-
U@CNQ LœR BNMSNQMN  2TL@ K@R OTMST@BHNMDR Ejercicio y Movilización
HMCHUHCT@KDRO@Q@NASDMDQTM@OTMST@BH®MFKN- Recomendaciones:
A@KµMHB@PTDU@MCDRCDřDWBDKDMSDŚ@řONAQDŚ  Ş ,NUHKHY@Q@KO@BHDMSDPTDL@CNS@MOQNMSN
%H@AHKHC@C BT@MCN RD TSHKHY@ DMSQD O@MDKDR CD BNLNRD@ONRHAKDHMBKTRNDMK@E@RDCD4"(
BNKNB@BH®M Ş $KNAIDSHUNOQHMBHO@KCDKDIDQBHBHNSDQ@O¤T-
Ş ,DCHC@RCDQDRTKS@CNETMBHNM@KDRDRS@MC@- SHBNQDG@AHKHS@BH®MCDADRDQ
QHY@C@R N1DRS@TQ@Q N L@MSDMDQ DK Q@MFN CD LNUH-
Evidencia de apoyo: LHDMSN1.,K@ETDQY@XK@BNMCHBH®ME¨-
Ş $U@KT@BH®MCDBHB@SQHBDRMNG@XTMBNMRDM- RHB@QDRHRSDMBH@
RNQD@KODQN@TMPTDK@DRB@K@CDBHB@SQHBDR N1DRS@TQ@QK@LNUHKHC@COQDUH@@K@KDRH®M
CD 5@MBNTUDQ SNC@U¨@ RD TR@ LœR @LOKH@- N LDINQ@Q CDROT¤R CD K@ KDRH®M O  DI 
LDMSDRDOTDCDQDBNLDMC@QDKTRNCD/.- SQ@MREDQDMBH@XCD@LATK@BH®M
 53

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN

N1DRS@TQ@Q DK ETMBHNM@LHDMSN OQDUHN @ K@ SQ@BSTQ@RPTDC@MBNLNBNMRDBTDMBH@TM@

KDRH®M N LDINQ@Q CDROT¤R CD K@ KDRH®M CHRLHMTBH®MCDK@LNUHKHC@C@QSHBTK@QXTM
DMK@R@BSHUHC@CDRCDK@UHC@CH@QH@ #+ ETMBHNM@LHDMSN B@QCHNU@RBTK@Q CDƥBHDMSD 
Ş 4M@QTSHM@CD@M@KFDRH@LTKSHLNC@KXPTD 2BGVDHBJDQSDS@K DMBNMSQ@QNMPTDK@LNUH-
ETMBHNMD AHDM DR O@QSHBTK@QLDMSD HLONQ- KHY@BH®MSDLOQ@M@CDO@BHDMSDRDM4"(BNM
S@MSD O@Q@ K@ NOSHLHY@BH®M CDK DIDQBHBHN  UDMSHK@BH®M LDBœMHB@ DR RDFTQ@ X LDINQ@
QDG@AHKHS@BH®M KNRQDRTKS@CNRETMBHNM@KDR@K@KS@GNROHS@-
Ş $RHLODQ@SHUNTMDMENPTDLTKSHCHRBHOKHM@- K@QH@ BNM TM@ LDMNQ CTQ@BH®M CDK CDKHQHN
QHN BNM QDTMHNMDR QDFTK@QDR BDMSQ@C@R DM X LœR C¨@R RHM UDMSHK@CNQ DM BNLO@Q@BH®M
DKDRS@CNCDQDG@AHKHS@BH®MCDKO@BHDMSD BNM K@ @SDMBH®M DRSœMC@Q  +@ LNUHKHY@BH®M
Ş 4SHKHY@Q NAIDSHUNR NQHDMS@CNR @K O@BHDMSD CDADHMHBH@QRDS@MOQNMSNBNLNK@RETMBHN-
X GDQQ@LHDMS@R CD @TCHSNQ¨@  HMCHB@CNQDR nes vitales del paciente sean estables.
CD B@KHC@C KN PTD RHFMHƥB@ X CNBTLDMS@ Ş +@RBNMSQ@BSTQ@RPTD@EDBS@MK@LNUHKHC@C
DKOQNFQDRN@MHUDKCDKO@BHDMSD@R¨BNLN @QSHBTK@Q RNM TM@ CD K@R OQHMBHO@KDR BNL-
O@Q@K@4MHC@C OKHB@BHNMDR CDROT¤R CD K@R PTDL@CTQ@R
5@KNQ@BH®M 1@MFN CD LNUHLHDMSN @QSHBTK@Q OQNETMC@R +NRDIDQBHBHNRCDQ@MFNCDLN-
FNMHNLDSQ¨@%TDQY@LTRBTK@Q%TDQY@CD@F@- UHLHDMSN O@RHUN @BSHUN @RHRSHCN N @BSHUN
QQD CHM@L®LDSQN )@L@Q /QTDA@ LTRBTK@Q CDADM QD@KHY@QRD CH@QH@LDMSD O@Q@ L@M-
L@MT@K OSHSTC E¨RHB@ OQTDA@ 6KXWWOH ZDON y SDMDQ K@ LNUHKHC@C @QSHBTK@Q CDODMCHDMCN
OQTDA@CDLHMTSNRL@QBG@ del estado del paciente. Los ejercicios de
Evidencia de apoyo: Q@MFN CD LNUHLHDMSN @QSHBTK@Q CDADM HM-
Ş $K OQHLDQ NAIDSHUN DM DK OQNBDRN CD QDG@- BKTHQ@QSHBTK@BHNMDRMN@EDBS@C@RX@PTDDK
AHKHS@BH®M CD TM O@BHDMSD PTDL@CN RHDL- QDONRN OQNKNMF@CN DM B@L@ OTDCD SDMDQ
OQD CDAD RDQ K@ LNUHKHY@BH®M SDLOQ@M@  TMDEDBSNMDF@SHUN 3@LAH¤MDRHLONQS@MSD
5@QHNR DRSTCHNR G@M CDLNRSQ@CN KNR DEDB- posicionar al paciente de manera correcta
SNR MDF@SHUNR CDK QDONRN OQNKNMF@CN DM  ®OSHL@ O@Q@ DUHS@Q PTD K@ OHDK RD QDSQ@H-
B@L@ BNLN K@ @SQNƥ@ LTRBTK@Q N K@R BNM- F@XONQKNS@MSNPTDK@R@QSHBTK@BHNMDRRD
 54

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN

BNMSQ@HF@M +@RE¤QTK@RS@LAH¤MRDOTDCDM DEDBSNRMDF@SHUNRRNAQDK@@OSHSTCE¨RHB@HM-

TR@QO@Q@OQDUDMHQK@RBNMSQ@BSTQ@RODQNK@R CDODMCHDMSDLDMSDCDKSHONCDKDRH®MCDR-
NOHMHNMDR CHƥDQDM BNM QDRODBSN @K DEDBSN OT¤RCDK@GNROHS@KHY@BH®M $RSNRDEDBSNRRD
CDK@RE¤QTK@RDRSœSHB@R G@M CDLNRSQ@CN CDROT¤R CD ODQ¨NCNR CD
Ş $K GHODQLDS@ANKHRLN X DK B@S@ANKHRLN CD- GNROHS@KHY@BH®MS@MBNQSNRBNLNBHMBNC¨@R 
AHCN @ K@R KDRHNMDR  KDRHNMDR ONQ PTDL@- /NQKNS@MSNRDQDBNLHDMC@HMHBH@QKNRDIDQ-
dura y el reposo en cama pueden provocar BHBHNR @DQ®AHBNR O@RHUN @BSHUN @RHRSHCN N
@SQNƥ@LTRBTK@Q +NRDIDQBHBHNRCD1.,O@- @BSHUNS@MOQNMSNBNLNRD@ONRHAKDDMK@
RHUNRDMO@BHDMSDRRDC@CNRG@MLNRSQ@CN E@RD@FTC@
DEDBSNRONRHSHUNRDMK@ETMBH®MCDK@ƥAQ@ +NR O@BHDMSDR BNM KDRHNMDR ONQ PTDL@CTQ@R
LTRBTK@Q ONQ KN PTD DK DIDQBHBHN CDADQ¨@ FQ@UDR @ LDMTCN DWODQHLDMS@M CDAHKHC@C X
BNLDMY@Q CD HMLDCH@SN  2D QDBNLHDMC@M E@SHF@ CDAHCN @ K@ O¤QCHC@ CD K@ ETDQY@ LTR-
DIDQBHBHNR CD ENQS@KDBHLHDMSN @BSHUN BNM BTK@Q X K@ B@O@BHC@C @DQ®AHB@  $RSN BNMCTBD
ODR@RNQDRHRSDMBH@LDBœMHB@L@MT@KX@ @CHƥBTKS@CDRBNMK@R #+ $RHLONQS@MSDPTD
PTD DRSHQ@M K@ OHDK X @TLDMS@M K@ ETDQY@ DK ENQS@KDBHLHDMSN X KNR DIDQBHBHNR @DQ®AHBNR
LTRBTK@Q  +NR MH¬NR BNM PTDL@CTQ@R G@M RDBNLAHMDMBNMK@R@BSHUHC@CDRCDDMSQDM@-
LNRSQ@CN TM L@XNQ @TLDMSN CD K@ ETDQY@ LHDMSNCDK@UHC@CH@QH@BNLNBNLDQUDRSHQRD
BNMDKDIDQBHBHNPTDDKSQ@S@LHDMSNBNMGNQ- XL@MSDMDQK@GHFHDMDODQRNM@K
LNM@CDBQDBHLHDMSNDW®FDM@ Es un objetivo importante para los paciente
Ş +@KHSDQ@STQ@S@LAH¤MRTFHDQDPTDCDROT¤R BNMPTDL@CTQ@RDKONCDQB@LHM@QNCD@LAT-
CDKHMIDQSNƥM@KRNMRDFTQNRKNRDIDQBHBHNR K@QCDENQL@HMCDODMCHDMSD +@CD@LATK@BH®M
de alta resistencia y ejercicios de alta in- SDLOQ@M@ @CDLœR CD KNR ADMDƥBHNR LDMBHN-
SDMRHC@C  SQDR QDODSHBHNMDR LœWHL@R M@CNR@MSDQHNQLDMSD@TLDMS@K@HMCDODMCDM-
X  EQDBTDMBH@ B@QC¨@B@ LœWHL@ PTD BH@ DM K@R @BSHUHC@CDR ETMBHNM@KDR X OQDUHDMD
@TLDMS@M S@MSN K@ ETDQY@ BNLN K@ B@O@BH- K@RBNMRDBTDMBH@RCDKCDBµAHSNOQNKNMF@CN $K
C@C @DQ®AHB@ @TMPTD RD QDPTHDQDM DRST- posicionamiento correcto y los tratamientos
CHNR LœR @LOKHNR  +NR DRSTCHNR LTDRSQ@M CDK@E@RD@MSDQHNQBNMUDMC@IDROTDCDM@XT-
 55

)LVLRWHUDSLD\WHUDSLDRFXSDFLRQDOHQOD*X®DGH3U¢FWLFD&O®QLFD REHABILITACIÓN

C@Q@E@BHKHS@QK@L@QBG@ Más información en:

$KL@MDINCDKCNKNQDMO@BHDMSDRBNMPTDL@-
CTQ@RDRUHS@KO@Q@NASDMDQTM@QDG@AHKHS@BH®M European Burns Association. European Prac-
®OSHL@ 2DOTDCDKNFQ@QTML@MDIN@CDBT@CN SHBD &THCDKHMDR ENQ !TQM "@QD  ,HMHLTL KDUDK
CDK CNKNQ LDCH@MSD DU@KT@BHNMDR BNMSHMT@R NE !TQM "@QD /QNUHRHNM HM $TQNOD :(MSDQMDS<
S@MSNCDSQ@S@LHDMSNRE@QL@BNK®FHBNRBNLNMN 5DQRHNM: BBDRNMNUHDLAQDCD< 
E@QL@BNK®FHBNR ONQ TM DPTHON LTKSHCHRBHOKH- #HRONMHAKD DM GSSODTQNATQM NQFVOBNM-
nar. SDMSTOKN@CR$! &THCDKHMDR5DQ-
+@ O@QSHBHO@BH®M CDK O@BHDMSD DM K@ QDG@AHKH- RHNM OCE
S@BH®M DR ETMC@LDMS@K  +@ HLONQS@MBH@ CD KNR
OQNFQ@L@R HMCHUHCT@KHY@CNR X K@ HLOKHB@BH®M
del paciente en el establecimiento de objeti-
UNR MNR E@BHKHS@Qœ TMNR QDRTKS@CNR LœR RHFMH-
ƥB@SHUNR  +@ QDG@AHKHS@BH®M CDAD SDMDQ BNLN
NAIDSHUNQDBTODQ@QDKMHUDKLœR@KSNONRHAKDCD
@TSNMNL¨@ @ SQ@U¤R CD K@ O@QSHBHO@BH®M LœWH-
ma del paciente.

+NR@TSNQDRCDDRSD@QS¨BTKNCDBK@Q@MMNSDMDQBNMƦHBSNCDHMSDQDRDR