Group Members BURNS

Mikhail Lamayo split-​thickness sheet

autografts harvested with a

Kimberly Magsipoc power dermatome

Maria Lyra Angela for areas of cosmetic

nonmeshed sheet grafts

Manseguiao
Evaluate Intervention importance
Impact

Nadjir Minalang Implement the

Interventions meshed autografted skin

Lady Lou Alynne Pana Emergency responses

Education
Smoke Alarms larger burns
Create Interventions
Donor sites, skin Proper Building Codes
Silver-​impregnated Meek micrografting technique,
grafts and partial Regulation of Hazardous
dressings or “postage-​stamp” technique,
thickness burns Materials/ Appliances

Developing
Community
For smaller or larger Partnerships
burns that nearly Topical ointments human cadaveric allograft
healed
temporary wound coverage
Assessing Burn
Hazards
Xenograft
Silver nitrate
Early enteral feeding
w/ burns >20% TBSA
5-​Step Process
Allograft
Metabolic
side effect Mafenide acetate
acidosis Involvement of
CLinical
Nasojejunal feeding
Psychologists and
Psychiatrists Integra

Silver sulfadiazine
synthetic dermal substitutes
Immune-​modulating WOUND COVERAGE
Alloderm
supplements

PSYCHOLOGICAL
TREATMENT PREVENTION NovoSorb Biodegradable
RECOVERY
Micronutrient Temporizing Matrix
supplementation
with antioxidant
NUTRITION
vitamins (Vit. E and
ascorbic acid) and
trace minerals Epidermal skin substitutes cultured epithelial autografts

Beta-​blockers in
pediatrics and adult
burn patients

Anabolic steroid Passive range-​of-​motion

Hand burns
oxandrolone exerccises (2x/day)

Physical and Occupational

Insulin therapy BURNS REHABILITATION
Therapy

walk independently without

ambulatory
crutches or other assistive devices

Burns on Foot and Extremities

BURN
BURN DEPTH PROGNOSIS
CLASSIFICATION elevate the affected extremity to
non-​ambulatory
minimize swelling
Laser Based
Therapies
Superficial (e.g. Pulsed dye
Thermal burns painful but do
Mortality Quality of life Used to Treat
(first-​degree) Laser, Ablative
flame, contact, or not blister LATE
COMPLICATIONS Carbon Dioxide
scald burns COMPLICATIONS
predicted using
Laser)
Pruritus digital escharotomy

Partial-​thickness
Electrical burns extremely painful Baux Score Appearance
with weeping and (second-​degree)
Ventilator- Healed Burns or Erythema
low-​volatge (<1000V) blisters
or high-​voltage injury associated donor sites
pneumonia Escharotomy
thoracic escharotomy
Hypertrophic Scar
Pain
Full-​thickness Morbidities
Chemical burns Revised Baux Score Functional status
painless, leathery, (third-​degree)
coagulation necrosis acid chemical burns and nonblanching
Abdominal SURGERY
liquefactive necrosis alkali chemical burns compartment Thickened Tight Skin
tangential excision
syndrome
Use of Pressure
Soft tissue burn garments and Splints
Mobility Excision and grafting
(fourth-​degree)
Contractures used to treat

fascial excision
DVT and pulmonary Contracture Excision
emboli and arterial
thrombosis
Muscle to bone burn
(fifth-​degree)
Ability to work extremity burns
pressurized water dissector
Heterotrophic Aggressive
Ossification Physiotherapy
Heparin-​associated
thrombocytopenia
Charring bone burn (HIT) NSAIDs
Itching
(sixth-​degree) Pneumatic tourniquets

Decreased range of
motion, pain, swelling Biphosphonates
on the overlying
affected joints
Hypertrophic
scarring, contraction, Radiation Therapy
and heterotopic
ossification use of Lactated Ringer's
Parkland/Baxter Formula
Solution
Surgical Excision

BP, urine output, serum

Resuscitation Parameter
lactate, Baxter's Formula

Abdominal CS

Extremity CS

Complications Compartment Syndrome (CS)

Intraocular CS

Pleural effusions

Physiologic effects dec lung compliance inc airway resistance inc overall metabolic demands inc fluid requirement

Grading Abbreviated Injury Score

Inhalation injury

Diagnosis clinical presentation bronchoscopic evaluation dec PaO2:FiO2 ratio

casued by

Smoke inhalation

Treatment bronchodilators aggressive pulmonary toilet

Results to

Inhalation of Combustible
Products

Direct Heat Injury