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    Dr. Fahruni Dian Iramani Preseptor: Dr. Deddy Saputra, SP - Bp-Re

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    Fahruni Dian Iramani
    This document provides an overview of burn treatment and management. It discusses burn classification, wound care, resuscitation protocols, complications, surgery techniques, rehabilitation, and prevention. The primary goals in burn care are to resuscitate patients, treat the burn wound, manage complications, perform reconstructive surgery, and facilitate rehabilitation and recovery. Prevention through education and safety measures is also emphasized.

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    Dr. Fahruni Dian Iramani Preseptor: Dr. Deddy Saputra, SP - Bp-Re

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    Fahruni Dian Iramani
    37 views25 pages
    This document provides an overview of burn treatment and management. It discusses burn classification, wound care, resuscitation protocols, complications, surgery techniques, rehabilitation, and prevention. The primary goals in burn care are to resuscitate patients, treat the burn wound, manage complications, perform reconstructive surgery, and facilitate rehabilitation and recovery. Prevention through education and safety measures is also emphasized.

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    BURN new

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    This document provides an overview of burn treatment and management. It discusses burn classification, wound care, resuscitation protocols, complications, surgery techniques, rehabilitation, and prevention. The primary goals in burn care are to resuscitate patients, treat the burn wound, manage complications, perform reconstructive surgery, and facilitate rehabilitation and recovery. Prevention through education and safety measures is also emphasized.

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    Download as pptx, pdf, or txt
    37 views25 pages

    Dr. Fahruni Dian Iramani Preseptor: Dr. Deddy Saputra, SP - Bp-Re

    Uploaded by

    Fahruni Dian Iramani
    This document provides an overview of burn treatment and management. It discusses burn classification, wound care, resuscitation protocols, complications, surgery techniques, rehabilitation, and prevention. The primary goals in burn care are to resuscitate patients, treat the burn wound, manage complications, perform reconstructive surgery, and facilitate rehabilitation and recovery. Prevention through education and safety measures is also emphasized.

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    BURN

    DR. FAHRUNI DIAN IRAMANI


    PRESEPTOR : DR. DEDDY SAPUTRA , SP.BP-RE

    PROGRAM STUDI PROGRAM PENDIDIKAN DOKTER SPESIALIS


    FAKULTAS KEDOKTERAN UNIVERSITAS ANDHALAS
    2021
    -Defenition-

    • Burned patients are trauma patietns


    and evaluated
    • Primary survey
    • Scondary survey
    -Burn Classification- 3

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    • Thermal
    • Electrical
    • Chemical Burn
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    4
    Rule of nines
    -Burn Depth- 5
    DUPUYTREN 1832 :

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    1. SUPEFICIAL (First Degree ) : painful but do not blister
    2. Patial-thickness ( Second-Degree) : dermal involvement and
    extremly painful with weeping and blister
    3. Full-Thickness (Third-Degree) : Leathery,painless, non
    blanching
    4. Fourth-Degree : Affect underlying Soft Tissue
    5. Fifth-Degree : Through Muscle to Bone
    6. Six-Degree : Charring Bone
    -Prognosis 6

    The Baux Score :

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    (Mortality Risk Equals Age Plus)
    • Age
    • Burn Size
    • Inhalasi Injury
    Impact The Subsequent 7

    Quality of Life For Survivors

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    • Apperance
    • Morbility
    • Functional Status
    • Ability to work
    -Resusitation- 8

    Parkland or Baxter Formula

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    ( 3 to 4 ml/kg per % burn Lactated Ringer’s)
    • Wich Half Given During First 8 Hours after
    Burn
    • Remaining Half is Given over Subsequent
    16 Hours
    9

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    American Burn Assosition Consesus
    Formula :
    2ml/kg per % burn of lactated Ringers
    10

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    Blood Tranfusion
    1. Imunomodulatory
    2. Immunosuppresive
    -Inhalation Injury And 11

    Ventilator Management-

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    1. Upper Airways:
    • Edem Maximal 24 to 48 hours after injury
    • Endotracheal Intubation

    2. Lower Airways
    • These irritants cause direct mucosal Injury
    • Mucosal sloughing, edem , reactive
    boronchoconstriction and finally obstruction
    -Treatment Of The 12

    Burn Wound-

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    • Silver Sulfadiazine
    • Mafenide Asetat
    • Silver Nitrat
    For Smaller Burn or Large Burns 13
    that are Nearly Healed

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    1.Bacitracin
    2.Neomicyn
    3.Polymyxin
    14
    -nutrition-

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    Micronutient with antioxidant (vitamin E and Ascorbic
    Acid ) and trace minerals ( selenium,zinc, and copper)
    optimalize :
    1. wound healing
    2. Echances Immune Function
    3. Fights Oxidative Stress
    Curreri Formula 15

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    Caloric need :

    25 kcal/kg per day + 40 Kcal/%TBCA per day


    -Complikations in
    Burn Care- 16

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    1. Ventilator : pneumonia
    2. Massive Resuscitation : Compartment Syndrom
    3. Compartment Syndrom:
    • DVT
    • Pulmonary Embolus
    • Arterial trombosit
     4. Leukositosis :
    • Venous Access
    • Cateter
    -Surgery- 17

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    Compartment Syndrom (Abdomen And
    Thorax) :
    1. Escharactomies
    2. Faciotomy
    Techinques 18

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    Facial Excisions :
    • Eletrocauter Techniques
    -Wound Coverage- 19

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    1. Split-thickness sheet autografts
    2. Technique for large burn
    • Meek micragrafting or postage-stage
    stamp
    -rehabilitation - 20

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     Prevention functional loss
    • Passive range of motion exercises
    • Walk independently without cruthes
    -LATE COMPLICATIONS - 21
    1. Hypertopic Scar :

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     Laser based therapies:
    • Pulsed Dye Laser (DLY)
    • Ablative carbondioxidate (CO2) Laser
     2. Contracture
    • Significant Morbidity
    • Range of motion of particular Joint
     3. Heteropic Ossification
    • Phatologic development of lamellar bone in peripheral tissue
    • Symtoms:
     Decreased Range of motion
     Pain
     Swelling overlying the affected joints
    -PYSICOLOGICAL 22

    RECOVERY-

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    Depression, Post traumatic stress disorder
    (PTSD)
    Pysichologists and psychiatrists
    -PREVENTION- 23

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     The Five Step Process :
    1. A systematic method of assessing
    2. Implementing
    3. Evaluating burn harzards
    4. Subsequent intervention impact
    5. The five E’s
    The five E’s 24

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    • Engineering/Enviroment
    • Enforcement
    • Education
    • Emergency response
    • Economic initiative
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