Burns

Burns

1. of

   • skin
     • layers
       • 1. epidermis
       • 2. dermis
       • 3. subcutaneus
     • microbiota lives on it
       • s.aureus
       • s.epidermidis
       • micrococcus

2. causes

   • thermal
   • electrical
   • mechanical
   • radiation

3. degrees

   • 1st: affect epidermis layer.
   • 2nd: affect epidermis + dermis layers
   • 3rd: affect all layers of skin

4. classified by

   • rule of nines

5. management

   • minor burns
     • 1. cooling the burn
     • 2. painkillers
     • 3. applying aintments
   • major burns
     • ABCDE
       • A:airways & C-spine immobilization
       • B: breathing & ventil
       • C: circulation
       • D: disability & neurologic defict
       • E: exposure & environmental control

6. complications

   • low blood volume
   • low body temperature
   • breathing problems
   • scarring
   • bone & joint problems
   • infection

7. due to

   • wounds & injuries
     • affects
       • immune system
         • arms
           • innate
             • components
               • 1. physical/chemical tair
               • 2. leukocytes
               • 3. complement proteins
               • 4. inflammation
                 • types
                   • acute
                     • cardinal signs
                       • 1. redness
                       • 2. heat
                       • 3. swelling
                       • 4. pain
                       • 5. loss of function
                     • phases
                       • vascular
                       • cellular
                     • outcomes
                   • chronic
           • adaptive
             • types
               • humoral response
               • cell-mediated response
     • go through
       • Healing
         • process
           • 1. hemostasis phase
           • 2. inflammatory phase
           • 3. proliferative phase
           • 4. maturation/ remodeling
         • complications
           • wound dehescence
           • keloids
           • contracture
         • depends on
           • CELLS
             • labile
             • stable
             • premenant
         • types
           • primary intention
           • delayed primary intention
           • secondary intention
           • tertiary intention
         • maybe affected by
           • age
           • body type
           • trauma/edema
           • chronic disease
           • necrosis
           • pressure