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1.6 - Principles of Assessment and Initial Management of the Patient with Burns

from Section 1 - Resuscitation and Management of the Acutely Ill Patient

Published online by Cambridge University Press:  27 July 2023

By
Behrad Baharlo
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Depth and extent of the burn determine management and the need for referral.

  2. 2. Lund and Browder charts should be used to estimate the extent of burn (% total body surface area (TBSA)).

  3. 3. Increasing age, % TBSA involved and associated inhalation injury correlate with severity.

  4. 4. Severe burns require burn shock resuscitation and should be managed in a burns centre.

  5. 5. The Parkland formula provides a guide to initial resuscitative fluid requirements.

Keywords

burnLund–BrowderassessmentParklandresuscitation
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 14 - 17
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Guttormsen, AB, Berger, MM, Sjoberg, F, Heisterkamp, H. ESICM PACT. Burns injury. 2012. www.yumpu.com/en/document/view/27690157/burns-injury-pact-esicmGoogle Scholar
Hettiaratchy, S, Papini, R. ABC of burns. Initial management of a major burn: I–overview. BMJ 2004;328:1555–7.CrossRefGoogle Scholar
Hettiaratchy, S, Papini, R. ABC of burns. Initial management of a major burn: II–assessment and resuscitation. BMJ 2004;329:101–3.CrossRefGoogle Scholar
National Network for Burn Care. National burn care referral guidance. Version 1. 2012. www.britishburnassociation.org/wp-content/uploads/2018/02/National-Burn-Care-Referral-Guidance-2012.pdfGoogle Scholar
National Network for Burn Care. National burn care standards. 2013. www.britishburnassociation.org/wp-content/uploads/2017/06/National_Burn_Care_Standards_2013.pdfGoogle Scholar

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