DOCSLIB.ORG

Copyrighted Material

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Copyrighted Material 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 665 Index Page numbers in italics refer to hepatic 72–3 figures; those in bold to tables. pelvic 73–4 perianal 360, 390–4, 392 ABCDE resuscitation sequence pericolic 386, 387, 388 601–3 pilonidal 393, 562–5 abdominal aortic aneurysms skin 561–2 492, 507–11 subphrenic 70–2, 358 abdominal examination 6 accessory pleomorphic adenoma abdominal pain 277–8, 278 158 central 303–17 achalasia 266–8 children 591 acids, ingestion 264–5 diverticulitis 387 acinic cell carcinoma 130 intestinal obstruction 308 acquired immune deficiency perforated peptic ulcer 286 syndrome (AIDS) 27–8 postoperative 35 acute limb ischaemia 514–17 abdominal surgery 41 acute renal failure 63–4, 91 antibiotic prophylaxis 103 acute tubular necrosis 63 bowel preparation 107–8 adenocarcinoma intravenous fluids 89 bladder 443 postoperative sepsis 66 gastro-oesophageal junction wound dehiscence 68, 68–9 270, 271 abdominal trauma 632–40 pancreas 342–3 blunt 633–40 stomach 294–5 penetrating 633 adenoid cystic carcinoma 130 abdominal wall defects, adenoma congenital 577–8 adrenal 196 abdominal X-rays (AXR) colonic 373–4 acute colitis 362 liver cell 336–7 intestinal obstruction 309, parathyroid 188, 190, 191–2 372 thyroid 181–2 kidneys, ureter and bladder admissions 2–8 (KUB) 428, 429 adrenalectomy neonates 581, 582, 582 Cushing’s syndrome trauma 636 196–7 abdominoperineal resection of laparoscopic 195–6 rectum 379–80, 383 adrenal glands aberration of normal (breast) adenomas 196 development and carcinoma 196, 197–8 COPYRIGHTEDinvolution (ANDI) 211 insufficiency MATERIAL 24 abscesses tumours 193–8 alveolar (dental) 156–7 adrenaline 49 breast 221–2 adrenocorticotrophic hormone cervical 137, 145, 147, 186 (ACTH) 196 665 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 666 666 Index Advanced Trauma Life Support glossitis 163 (ATLS) 600, 661 Plummer–Vinson syndrome age 268–9 breast cancer surgery and 231 anaesthesia, previous history 4 breast changes 203–4 anaesthetist 8–9, 11 breast disorders and 205 anal canal 391 AIDS 27–8 anal fissures 369, 397–8 air embolus 94 children 595–6 air enema, reduction of analgesia 98–101 intussusception 591 acute mild pain 101 airway acute moderate pain 100 burns injury 658, 661 acute severe pain 98–100 major trauma 601 burns 661 obstruction 14, 15, 254 chest trauma 623, 624 oropharyngeal 601 chronic pain 101 surgical 254–6 pancreatitis 350 albumin solution 85, 86 patient-controlled (PCA) 99 alcohol consumption 5 pulmonary embolism 56 alcoholism 331, 333, 354 anal sphincterotomy, lateral 398 aldosterone 197 anal sphincters 391 alimentary system see anal surgery, bowel preparation gastrointestinal tract 108 alkalis, ingestion 264–5 anaphylactic shock 48–9 allergies 5, 9 anaplastic thyroid carcinoma 5-α-reductase inhibitors 183 457 anastrozole 237 α-blockers 194, 457 aneurysms α-fetoprotein 338, 484, 485 arterial 507–13 alveolar abscess 156–7 berry 507 amaurosis fugax 519–20 false 507 ameloblastoma 158–9 femoral 406, 513 aminophylline 15 mycotic 507 5-aminosalicylic acid (5-ASA) popliteal 513, 514 362, 363 syphilitic 507 ampulla of Vater carcinomas angina 18, 492, 498 342–3, 344 angioplasty, lower limb 498–9 amputations 504–7 angiosarcoma, hepatic 337 above knee 504–5 ankle brachial pressure index antibiotic prophylaxis 103 (ABPI) 493, 493–4, 498, below knee 505 532, 533 ray 505–6 anorectal malformations toe 506 587–8 transmetatarsal 506 anorexia 3 traumatic, fingertips 650–1 anterior resection (of rectum) amylase, serum 349, 639 378–9, 385 anaemia anterior triangle of neck 127 colorectal cancer 376 lumps 135–42 gastric cancer 295 antibioma 147 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 667 Index 667 antibiotics 102–5 digital subtraction 495 acute infections 104 , 105 hazards 495–6 acute pancreatitis 351 transbrachial/transaxillary prophylactic 9, 15, 19, 102–5, 495 103 transfemoral 494–5 anticoagulants 105–7 arteriovenous fistulae 517–19 deep venous thrombosis As, Bs and Cs, preoperative therapy 54, 105–7 8–10 management of patients on ascites 329, 331 24–5 aspiration pneumonitis 45 prophylactic 9, 53, 105 aspirin 4–5, 25, 358, 496, 521 pulmonary embolism 56 assessment, preoperative 2–8 ulcerative colitis 362 assistant, surgical 11, 29 antiemetics 36, 99 assisting antiestrogens 236–7, 243 at laparoscopic surgery 79 antihistamines 48 at operation 29 antiplatelet agents 4–5, 25, 496, asthma 16–17 521 nocturnal 267 antithyroid agents 176, 177 atelectasis, postoperative 43–4, anuria, postoperative 32, 40–1, 44 60, 62 atherosclerosis 507 anus assessment 492 absent or ectopic 587–8 management 496 see also perianal region risk factor management 498, aorta, thoracic, traumatic 521 rupture 628 risk factors 492 aortic aneurysms 507–13 auricle, cervical 127 abdominal 492, 507–11 AVPU acronym 602 conventional repair 510 axilla endovascular repair 510–11 dissection 233–4 ruptured 508, 511–13 excision of sweat glands aortofemoral bypass 501 575–6 aphthous ulceration 164–5 hyperhidrosis 574, 575 appendicectomy radiotherapy 236 laparoscopic 306, 307 axillary lymph nodes 206, 207 open 304–5, 305 axillary vein thrombosis 52 appendicitis, acute 103, 303–6 axillofemoral/axillobifemoral APUD cells 192, 198 bypass 503 aromatase inhibitors 236–7, 243 axonotmesis 656 arterial blood gases 55, 624 azathioprine 362, 363 arterial surgery 103, 488–525 arteries bacterial overgrowth, small acute occlusion 514–17, 655 bowel 302 aneurysms 507–13 bacteriology 9 thrombosis 514–16 bad news, breaking 117–18, 119 trauma 507, 654–5 balanitis xerotica obliterans 468 arteriography 494–6, 509 balanoposthitis (balanitis) carotid artery 521 467–8 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 668 668 Index Ballance’s sign 636 preoperative preparation barium enema 361, 369, 376 9–10, 12 barium swallow 141, 259, 267 reactions 47–9 Barrett’s oesophagus 270, 275 trauma 602, 643 basal cell carcinoma (BCC; basal upper GI haemorrhage 291, cell epithelioma) 560–1 334 basal cell papilloma 539 blood vessel injuries 646, 654–5 basilic vein 93 blue naevus 553 Battle’s sign 611–12 blue toe syndrome 508 BCG, intravesical 446 Boerhaave’s syndrome 262–3 bed sores 76–7 boil 565 benign prostatic hyperplasia bone scan, technetium 461 (BPH) 454, 455–9 botulinum toxin injections 267, benzodiazepines 102 398 benzylpenicillin 103, 104 bowel see intestine β-blockers 194, 498 bowel habit 3 bile acid derivatives 320 change in 370, 376 bile duct bowel preparation 107–8 carcinoma Bowen’s disease 559 (cholangiocarcinoma) 337 brain common see common bile contusion 608 duct herniation 609 iatrogenic injury 323 laceration 608 biliary colic 319 brain injury 606–9, 608 biliary surgery, antibiotic primary 607–8 prophylaxis 103 secondary 608–9 biliary tract spasm 100 brain perfusion pressure (BPP) bilirubin metabolism 324 606 biochemistry 9 branchial cyst 137–8, 138 bisoprolol 498 branchial sinus/fistula 135–7 bladder BRCA1/2 genes 237–8 biopsy 449 breaking bad news 117–18, 119 outflow obstruction 455–9 breast 202–47 stones 441–3 abscesses 221–2 traumatic injuries 645 age changes 203–4 bladder tumours 443–8 augmentation 223–4 carcinoma in situ 444, 446 awareness 207 staging 444, 445, 446 benign nodularity (fibrocystic transurethral resection change) 211–13 (TURBT) 446, 447 cancer see breast cancer bleeding see haemorrhage cyclical changes 202, 217 blood cysts 204, 205, 215–16 cross-matched 9–10 developmental disorders loss estimation 291 223–4 preparations 87 dysplasia 211 blood-borne diseases 26–7 examination 206, 207 blood transfusion 87 fat necrosis 221 major burns 663 fibroadenoma 213–15 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 669 Index 669 fibroadenosis 211–13 pathological examination imaging 208 210–11 lobar anatomy 202, 203 triple assessment 204–5 lymphatic drainage 207 wide-bore needle (WBN) male 244–7 biopsy 209–10 ‘mouse’ 214 breathing, major trauma 601–2 normal 202–4 breathlessness, postoperative pain 204, 205, 216–17 32, 37 plastic surgery 223–4 Breslow thickness 554, 555 post-traumatic haematoma bronchodilators 15 221 bronchopneumonia, prosthesis 234–5, 238 postoperative 37, 43–4 reconstruction 238–41 bronchus, ruptured 628–9 reduction 224 bruits screening 209, 225–6 carotid artery 520, 521 self-examination 207 lower limb arteries 489, 490, breast cancer 224–47 492 advanced or recurrent 242–3 Buerger’s test 489 axillary dissection 233–4 burns 657–64 diagnosis 227 assessment 658–60, 659, 659 elderly women 230 fluid replacement 89, 661–3, familial 205–6, 237–8, 247 662 hormone receptors 236–7 major 661–4 late problems 241–3 minor 660 male 246–7 shock 658 management 229–30 burr holes, cranial 619–20 mastectomy see mastectomy bypass graft surgery, arterial metastatic 242 500, 501–4 nipple changes 218, 227 graft thrombosis 514 palliative care 236, 243 plastic surgery 238–41 calcitonin 184 postoperative adjuvant calcium 189 therapy 235–8, 239 calcium gluconate 63, 192, 351 screening 209, 225–6 calcium resonium 63 staging 227–9, 228, 229 candidiasis, tongue 163 surgery 230–5 caput medusae 330, 331 symptomatic 226–30 carbimazole 176, 177 wide local excision (WLE) carbuncle 565 226, 231–2, 235 carcinoembryonic antigen 338 breast care nurse 234 carcinoid syndrome 316 breast-feeding 205, 222 carcinoid tumours 316–17 breast lumps/disorders 204–24, cardiac tamponade 631 227 cardiovascular disease 17–19 benign 211–24 assessment 492 diagnosis 204–11, 212 management 496, 498 FNA cytology 209 risk factor management 498, malignant see breast cancer 521 open surgical biopsy 210, 226 risk factors 492 9781405129213_5_ind.qxd 7/29/08 1:11 PM Page 670 670 Index cardiovascular system Charles’
Load more

Recommended publications
  • Emergency Medical Retrieval Service (EMRS)
    Emergency Medical Retrieval Service (EMRS) www.emrs.scot.nhs.uk Standard Operating Procedure Public Distribution Title Burns Version 7 Related Documents British Burns Care Review Author A. Inglis, R. Price, A. Hart Reviewer C McKiernan Aims · To ensure appropriate treatment and triage of major burns patients Background · The team is involved in the retrieval and pre-hospital care of patients with burns. Assessment and early management of actual and potential airway and respiratory compromise is essential, as is adequate fluid resuscitation. · National Burns Care Review recommends that failure to admit complex burns cases into burns service site within 6 hours be “regarded as a critical incident and the reasons investigated” Application EMRS team members SAS Paramedics Burns Unit, GRI / ARI / St John’s, Livingston SOP-Burns 1 Patients appropriate for retrieval team activation · Adult burns cases where advanced medical intervention is appropriate to optimise safe transfer Advice to GP prior to team arrival · High volume irrigation of chemical burns, cold water immersion/ irrigation of thermal / electrical burns) + immediate dressings (Clingfilm) · Oxygen, opioid analgesia, crystalloid fluids (normal saline / Hartmann’s by Parkland formula). · Warming / hypothermia prevention Medical management on scene PRIMARY SURVEY A Airway burns (perioral/ nasal stigmata; altered voice; stridor) - early intubation B Smoke inhalation (circumstances; nasal / pharyngeal soot) CO poisoning (oximetry unreliable). Commence oxygen. C Early shock is due to other injury! Escharotomy considered only after transfer D Other injuries; cardiac / neurological / diabetic / drug event? E Extent of burn, ocular burn? Core temperature? Avoid hypothermia • Have a low threshold for endotracheal intubation if air transfer is indicated. • Use an Uncut ETT for intubation SOP-Burns 2 SECONDARY SURVEY Total Body Surface Area Assessment Wallace Rule of nines to assess BSA.
    [Show full text]
  • CRITICAL CARE NURSING. Objectives After Reading Through This Unit, You Should Be Able To; •Describe the Concepts in the Management of Critically Ill Patient
    CRITICAL CARE NURSING. Objectives After reading through this unit, you should be able to; •Describe the concepts in the management of critically ill patient. •Explain different types of critical care facilities. •Discuss admission procedure of critically ill patient. •Identify the physical, psychological and social needs of a critically ill patient. •Describe the special investigations carried out in critically ill patients. •Demonstrate competency in the management of critically ill patients. Def; •Nursing that we should give to a patient whose health is in danger or in crisis so as to save their life or prevent complications. •purpose •To maintain accurate continuous observations of the patients’ vital functions and treat or support a failing or failed biological system. it focuses on the whole body system so as to maintain health. Types of critically ill patients •Severe injuries to the head or chest. •Effect of the disease /condition on circulation ,breathing and electrolyte balance. •Unconscious patients . •Burns of second degree greater than 25% •Acute poisoning. •Respiratory failure. •Cardiovascular failure •Multiple and severe injuries of the head,chest,spine or abdominal viscera. •Acute or chronic renal failure. •Ruptured ectopic pregnancy. •Critical care facilities Acute room Termed as an acute room because of its location,equipm ents used .and the condition of the patients who are nursed there . The following equipments are found in this unit; Sunction equipment . •Oxygen administration equipments fully assembled i.e. oxygen cylinder,adminstration mask or nasal catheters, oxygen key and gauge. •Intravenous administration set. •Adequate stocks of linen. •Other requirements to include observation equipment. There should always be a nurse in acute room in the ratio of 1:2.
    [Show full text]
  • The Evaluation and Management of Thermal Injuries: 2014 Update
    Clin Exp Emerg Med 2014;1(1):8-18 http://dx.doi.org/10.15441/ceem.14.029 Review Article The evaluation and management of eISSN: 2383-4625 thermal injuries: 2014 update Jimmy Toussaint, Adam J. Singer Department of Emergency Medicine, Stony Brook University, Stony Brook, NY, USA Burns are among the most common injuries presenting to the emergency department. While Received: 10 August 2014 burns, especially large ones, may be associated with significant morbidity and mortality, most Revised: 21 August 2014 are minor and can be managed by emergency practitioners and discharged home with close fol- Accepted: 28 August 2014 low-up. In contrast, patients with large burns require aggressive management of their airway, breathing and circulation in order to reduce mortality and morbidity. While early endotracheal Correspondence to: Adam J. Singer Department of Emergency Medicine, Stony intubation of patients with actual or impending airway compromise and aggressive fluid resus- Brook University, HSC L4-080 8350 SUNY citation have been emphasized, it appears that the pendulum may have swung a bit too far to- Stony Brook, NY 11794-8350, USA wards the extreme. The current review will briefly cover the epidemiology, pathogenesis and di- E-mail: [email protected] agnosis of burn injuries with greater emphasis on airway and fluid management. We will also discuss the local management of the burn wound, which is all that is required for most burn pa- tients in the emergency department. Keywords Burns; Emergency service, hospital; Smoke inhalation injury; Diagnosis; Therapy What is already known Early endotracheal intubation has been encouraged to prevent rapid deteriora- tion of the airway and aggressive fluid resuscitation based on the Parkland for- mula is widespread.
    [Show full text]
  • TRAUMA and EMERGENCY CARE (MTEC) Basic Trauma Care
    MULTIDISCIPLINARY TRAINING IN TRAUMA and EMERGENCY CARE (MTEC) Basic Trauma Care Developed by All India Institute of Medical Sciences Bhopal with assistance from Department of Public Health and Family Welfare Government of Madhya Pradesh Multidisciplinary training in Emergency and Trauma Care (MTEC) AIIMS Bhopal Certification in Basic Trauma care Developed by All India Institute of Medical Sciences Bhopal with assistance from Department of Public Health and Family Welfare Government of Madhya Pradesh Multidisciplinary training in Emergency and Trauma Care (MTEC) AIIMS Bhopal Certification in Basic Trauma care Developed by All India Institute of Medical Sciences Bhopal with assistance from Department of Public Health and Family Welfare Government of Madhya Pradesh AIIMS Bhopal Certification in Basic Trauma Care A certificate course developed and conducted by All India Institute of Medical Sciences Bhopal 2014 Patron: Prof Sandeep Kumar, Director AIIMS Bhopal Chairperson: Prof Vijaysheel Gautam, AIIMS Patna Course Director: Dr Saurabh Saigal Writing team: TABLE OF CONTENTS Dr Saurabh Saigal Dr Jai Prakash Sharma Introduction Department of Trauma & Emergency Medicine Department of Anesthesiology Chapter 1 : Basic Trauma Life Support 1 AIIMS Bhopal AIIMS Bhopal Chapter 2 : Airway Management in Trauma 8 Chapter 3 : Shock 17 Dr Manal M Khan Dr Anshul Rai Chapter 4 : Chest Trauma 23 Department of Burns and Plastic Surgery Department of Trauma & Emergency Medicine Chapter 5 : Abdominal Trauma 33 AIIMS Bhopal AIIMS Bhopal Chapter 6 : Head Injury 38
    [Show full text]
  • Management of Burns in the Community
    Clinical REVIEW Clinical REVIEW Management of burns in the community Burn injuries pose a significant burden to the NHS with 250,000 patients presenting annually to primary care teams and a further 175,000 presenting to A&E (National Burn Care Review, 2001). The large majority of these patients are managed in the community by healthcare professionals who may have limited experience or lack formal training in burn management. The purpose of this article is to highlight key principles in managing burns in the community from the provision of first aid to rehabilitation, as well as guidelines for referral to a specialist burns unit. Kshemendra Senarath-Yapa, Stuart Enoch formal training in burns management. adults (although burns of this nature This disparate group includes not only are not suitable for management in KEY WORDS GPs but more frequently practice and the community). Burns district nurses. The purpose of this article Community care is to outline some of the key principles The importance of this common in burns management in the community approach lies in the detection of Burns dressings including initial assessment and first aid, associated non-burn injuries that may Wounds classification of mechanisms of burn injury, pose a more immediate threat to life and assessment of burn depth, estimation of require urgent medical attention. The aim total body surface area (TBSA) burnt, and of first aid should be to stop the burning the types of dressings that may be used. process, cool the burn, provide pain relief It also aims to highlight the criteria for and cover the burn (Hudspith and Rayatt, urn injuries range from the most referral to specialist burns units as set out 2004).
    [Show full text]
  • An Overview of Acute Management in Burns
    24 February 2017 No. 3 AN OVERVIEW OF ACUTE MANAGEMENT IN BURNS L Nkomentaba Moderator: J Cardoso School of Clinical Medicine Discipline of Anaesthesiology and Critical Care CONTENTS AN OVERVIEW OF ACUTE MANAGEMENT IN BURNS ................................................... 3 INTRODUCTION ................................................................................................................. 3 TERMINOLOGY .................................................................................................................. 3 MECHANISMS OF BURN ................................................................................................... 3 CLASSIFICATION OF BURNS ........................................................................................... 3 ESTIMATION OF TOTAL BODY SURFACE AREA ........................................................... 5 BURN CENTRE REFERRALS ............................................................................................ 6 PATHOPHYSIOLOGY OF BURN INJURY ......................................................................... 7 Early phase 24-48hrs ....................................................................................................... 7 The late or hypermetabolic/hyperdynamic phase more than 48hrs .................................. 8 Pharmacological changes .............................................................................................. 10 INITIAL EVALUATION AND MANAGEMENT .................................................................. 11 Inhalational
    [Show full text]
  • Effective Skin and Wound Management in Non-Complex Burns
    I NTERNATIONAL BEST PRACTICE BEST PRACTICE GUIDELINES: EFFECTIVE SKIN AND WOUND MANAGEMENT OF NON-COMPLEX BURNS 3 BEST PRACTICE GUIDELINES: EFFECTIVE SKIN AND WOUND MANAGEMENT OF NON-COMPLEX BURNS FOREWORD Supported by an educational This document is a practical guide to the management of burn injuries for grant from B Braun healthcare professionals everywhere who are non-burns specialists. With an emphasis on presenting hands-on and relevant clinical information, it focuses on the evaluation and management of non-complex burn injuries The views presented in this that are appropriate for treatment outside of specialist burns units. However, document are the work of the it also guides readers through the immediate emergency management of all authors and do not necessarily burns and highlights the importance of correctly and expediently identifying reflect the opinions of B Braun. For further information about B Braun complex wounds that must be transferred rapidly for specialist care. Finally, it wound care products, please go to: looks at the ongoing management of newly healed burn wounds and post- http://www.woundcare-bbraun.com discharge rehabilitation. © Wounds International 2014 The document acknowledges the importance of continuous and integrated Published by input from all members of the multidisciplinary team, where such a team Wounds International exists, while recognising the role and resources of singlehanded and outreach A division of Schofield Healthcare Media Limited generalists providing a complete care service. Enterprise House 1–2 Hatfields Although strategies vary within and between regions, this document seeks to London SE1 9PG, UK www.woundsinternational.com present the essential key best practice principles that can be applied univer- sally and adapted according to local knowledge and resources.
    [Show full text]
  • Collection of Practical Guides for Wounds of the Servizo Galego De Saúde
    Collection of Practical Guides for Wounds of the Servizo Galego de Saúde Practical Guide for Burn Injuries. Practical Guide No 5 COLLECTION OF PRACTICAL GUIDES FOR WOUNDS OF THE SERVIZO GALEGO DE SAÚDE PRACTICAL GUIDE FOR BURN INJURIES Practical Guide No. 5 Xunta de Galicia Consellería de Sanidad Servicio Gallego de Salud Dirección General de Asistencia Sanitaria 2016 Publisher: Xunta de Galicia Consellería de Sanidade Servizo Galego de Saúde Dirección Xeral de Asistencia Sanitaria Graphic design and layout: Versal Comunicación, S.L. Year: 2016 Licence: Creative Commons Attribution-ShareAlike 4.0 International Licence (CC BY-SA 4.0) http://creativecommons.org/licenses/by-sa/4.0/ 01 COLLECTION OF PRACTICAL GUIDES FOR WOUNDS OF THE SERVIZO GALEGO DE SAÚDE — Nº 1 Pressure Ulcers — Nº 2 Ulcers of the Lower Limb — Nº 3 Diabetic Foot — Nº 4 Neoplastic Skin Lesions — Nº 5 BURN INJURIES — Nº 6 Acute Surgical Wound — Nº 7 Moisture Associated Skin Damages — Nº 8 Trauma Wounds Úlceras Fóra Programme. Servizo Galego de Saúde (Sergas), 2016 PRESENTATION Everyone knows that the approach to ulcers and wounds implies a health problem of great magnitude due to the extra financial cost it means for sustainability of the health system, due to the loss of quality of life in patients, due to the impact that it has on their families and carers, and also by the workload and clinical variability that their care represents for healthcare professionals. From the Servizo Galego de Saúde (Sergas), and more intensively from the General Sub- Directorate for Care Management and Organisational Innovation through the Health Care Integration Department, there is an awareness of the importance and impact of a proper management of the prevention and treatment of this type of lesions; so for several years we have been working to improve the structure, resources and conditions required, to try to normalise and systematise the care activity arising from this care process.
    [Show full text]
  • Burns Injury
    RUSSELLS HALL HOSPITAL EMERGENCY DEPARTMENT CLINICAL GUIDELINE BURN INJURY This guideline describes the management of burn injuries in the Emergency Department (ED) at Russells Hall Hospital. A detailed description of burn pathophysiology and further management are beyond the scope of the guideline but further information can be found in the ‘ABC of Burns’ series, available as downloads from http://www.bmj.com/ - 1 - Contents (click to go to page) Major Burn – Acute Management Flowchart Airway and breathing Circulation and fluid management Disability and exposure Assessment of burn area Assessment of burn type and depth Burns dressings Referral to Regional Burns Centre Further reading Appendices 1. Lund and Browder chart 2. Non-accidental injury - 2 - Major Burn – Acute Management Flowchart Assess ABCDE Remember cervical spine control Assess for other injuries – deal with problems which require more urgent treatment first Obtain adequate IV access FBC,U&E,glucose,G&S,clotting,CK ANALGESIA - titrate IV morphine as necessary (intranasal diamorphine useful in children) Start IV fluids Measure core temp. and maintain >36°C BSA=Burn Surface Area TBSA=Total Body Surface Area Assess BSA, type and depth of burn **Complex Burn IF ANY OF THE FOLLOWING: *Special Areas ° Child with any burn greater 2 to ionising radiation Face than 2% TBSA Suspicion of NAI Adult with any burn greater Hand than 3% TBSA Coexisting diseases Perineum or genitals Full thickness burn Pregnancy Inhalational injury Feet Special areas* Extremes of age Flexures (particularly
    [Show full text]
  • Clinical Practice Guidelines for Paramedics & Intensive Care
    Ambulance Tasmania Clinical Practice Guidelines for Paramedics & Intensive Care Paramedics Ambulance Tasmania Clinical Practice Guidelines for Paramedics and Intensive Care Paramedics Clinical Practice Guidelines Disclaimer for Paramedics and Intensive Care Paramedics All rights reserved. Without limiting the reservation Under no circumstances will AT, its employees or agents, be liable for any loss, of copyright, no person shall reproduce, store in injury, claim, liability or damages of any kind resulting from the unauthorised use February 2012 a retrieval system or transmit in any form, or by of, or reliance upon the CPG’s or the contents therein. Revised August 2012 any means, part or the whole of the Ambulance AT acknowledges Ambulance Victoria (AV) copyright (2009, Ambulance Ambulance Tasmania Tasmania (AT) Clinical Practice Guidelines (CPG’s) Victoria. Clinical Practice Guidelines / Ambulance Victoria. Revised ed.), and without the prior written permission of AT. acknowledges permission provided by AV to reproduce, in part, the Ambulance Copyright © Ambulance Tasmania 2012. AT accepts no responsibility for any modification, Victoria Clinical Practice Guidelines (2009). redistribution or use of the CPG’s or any part While effort has been made to contact all copyright owners this has not always Ambulance Tasmania thereof. been possible. We would be pleased to hear from any copyright holder who has Lower Level, 12 Brisbane Street The CPG’s are expressly intended for use by AT been omitted or incorrectly acknowledged. Hobart, Tasmania 7000 paramedics when performing duties and delivering GPO Box 125 ambulance services for, and on behalf of, AT. Hobart, Tasmania 7001 Foreword The Ambulance Tasmania Clinical Practice Guidelines (CPG) for Paramedics and Intensive Care Paramedics have undergone a major revision to ensure contemporary, evidence-based practice in an easy to read format.
    [Show full text]
  • Care After Burn Trauma: a Burn Toolkit for Providers
    The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library | Geschke Center DNP Qualifying Manuscripts School of Nursing and Health Professions Spring 5-18-2020 Care After Burn Trauma: A Burn Toolkit for Providers Whitney Weyhing [email protected] Follow this and additional works at: https://repository.usfca.edu/dnp_qualifying Part of the Family Practice Nursing Commons, and the Public Health and Community Nursing Commons Recommended Citation Weyhing, Whitney, "Care After Burn Trauma: A Burn Toolkit for Providers" (2020). DNP Qualifying Manuscripts. 38. https://repository.usfca.edu/dnp_qualifying/38 This Manuscript is brought to you for free and open access by the School of Nursing and Health Professions at USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. It has been accepted for inclusion in DNP Qualifying Manuscripts by an authorized administrator of USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. For more information, please contact [email protected]. Running head: CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 1 Care After Burn Trauma: A Burn Toolkit for Providers Whitney Weyhing DNP, FNP-C, CWCN University of San Francisco First Chair: Dr. Loomis DNP, FNP-C, CHSE, NCMP, CNL Second Chair: Dr. Fraino DNP, PMHNP-BC, FNP-BC, NP-C, CNL CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 2 Section I: Abstract Problem: A burn injury can occur in a matter of seconds. Despite advances in medical innovations and scientific progress, accidental burns continue to represent a devastating major public health burden today. Burn traumas represent a great expense to the healthcare system, affect every age and demographic, and continue to possess significant morbidity and mortality.
    [Show full text]
  • Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
    healthcare Article Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19 Gloria Pelizzo 1,2,*, Elettra Vestri 1, Giulia del Re 1, Claudia Filisetti 1, Monica Osti 1,3, Anna Camporesi 4 , Dario Rizzo 5, Armando De Angelis 6, Elena Zoia 4, Paola Tommasi 7, Gianvincenzo Zuccotti 2,7 and Valeria Calcaterra 7,8 1 Pediatric Surgery Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy; [email protected] (E.V.); [email protected] (G.d.R.); claudia.fi[email protected] (C.F.); [email protected] (M.O.) 2 Department of Biomedical and Clinical Science “L. Sacco”, University of Milan, 20122 Milan, Italy; [email protected] 3 Department of Surgery, Policlinico San Donato, 20097 Milan, Italy 4 Pediatric Intensive Care Unit, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy; [email protected] (A.C.); [email protected] (E.Z.) 5 Outpatients Unit, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy; [email protected] 6 Burn Unit, A.O. Niguarda Ca’ Granda Hospital, 20162 Milan, Italy; [email protected] 7 Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy; [email protected] (P.T.); [email protected] (V.C.) 8 Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy * Correspondence: [email protected] or [email protected] Citation: Pelizzo, G.; Vestri, E.; del Abstract: Considerable reorganization of the regional network for pediatric burn treatment during Re, G.; Filisetti, C.; Osti, M.; the pandemic was required to cope with severe burn injuries in small children.
    [Show full text]