PDF Diploma in Clinical Medicine and Surgery

Burns Patient Care: Burn Depth, Vascular Changes and the Emergent, Acute and Rehabilitative Phases

Surgery II deck on the pathophysiology of a burn: the superficial partial, deep partial, full and deep full-thickness injuries and their anatomic and functional changes, and the vascular response that shifts fluid out of the capillaries for the first 12 to 36 hours with hyperkalaemia and hyponatraemia. It covers the causes from contact, dry heat, chemical and electrical injury to carbon monoxide poisoning and direct airway damage, the cardiovascular, gastrointestinal and immunologic assessment, IV fluids and drug therapy, dressing the burn wound with biosynthetic dressings, amniotic and cultured skin, collagenase autolysis and meshed autograft, escharotomy, hydrotherapy and temperature control, and the three phases of care through to rehabilitation, where the work is psychosocial adjustment and preventing scars and contractures.

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