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The Wallace rule of nines is a tool used in pre-hospital and emergency medicine to estimate the total body surface area (BSA) affected by a burn.In addition to determining burn severity, the measurement of burn surface area is important for estimating patients' fluid requirements and determining hospital admission criteria.
A burn recovery bed or burn bed is a special type of bed designed for hospital patients who have suffered severe skin burns across large portions of their body. [1]Generally, concentrated pressure on any one spot of the damaged skin can be extremely painful to the patient, so the primary function of a burn bed is to distribute the weight of the patient so evenly that no single bed contact ...
The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund, Senior Surgeon at Boston City Hospital, and Dr. Newton Browder, based on their experiences in treating over 300 burn victims injured at the Cocoanut Grove fire in Boston in 1942.
Treatment depends on the severity of the burn. [2] Superficial burns may be managed with little more than simple pain medication, while major burns may require prolonged treatment in specialized burn centers. [2] Cooling with tap water may help pain and decrease damage; however, prolonged cooling may result in low body temperature.
A burn center needs a team approach for the management of critically burnt patients. Usually, the burns management team consists of a plastic surgeon, intensivist, chest physician, general surgeon, Anesthesiologist, Respiratory Therapist, pediatrician, nurses and technicians, microbiologist, psychiatrist, nutritionist, physiotherapist, and social worker.
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Recent analysis of mortality in burn units worldwide has shown that for well performing units the LD50 (the point at which 50% of patients would be expected to die) for major burns has significantly improved and the best units have a modified Baux score of 130-140. This means that all burns in children (except 100% TBSA full-thickness burns ...
The National Association of EMS Officials recommends "Cool First, Transport Second" for patients whose body temperature is over 104 degrees. This protocol can save overheating patients. Few states ...