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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.
For example, a person weighing 75 kg with burns to 20% of his or her body surface area would require 4 x 75 x 20 = 6,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within eight hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.
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 ...
This is an accepted version of this page This is the latest accepted revision, reviewed on 13 February 2025. This is a list of burn centers in the United States. A burn center or burn care facility is typically a hospital ward which specializes in the treatment of severe burn injuries. As of 2011, there are 123 self-designated burn care facilities in the United States. The American Burn ...
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 ...
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.