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1. management and assessment

   • first Aid for burns
   • First you should determine
     • to assess amount of fluid loss
       • rule of 9s
     • degree of burn injury
       • 4th degree
         • involves the subcutaneous tissues , fat , tendon , muscles , fascia ,nerves , vessels & bones
       • 3rd degree
         • appear dark & leathery , the skin may appear translucent , mottled , or waxy white , the surface may be red & does not blanch with pressure , the surface is painful & generally dry , healing may be from edge but mostly needs skin graft .
       • 2nd degree
         • red or mottled appearance , swelling , blister formation , the surface may have weeping , wet appearance , painfully hypersensitive even to air current .
       • 1st degree
         • erythema , pain , absence of blisters , not life threatening , do not require IV fluid replacement , totally heal in few days
   • collect wound specimen
     • selective toxicity

2. what are antibiotics

   • resistance
     • spread
     • mechanism of resistance
   • antimicrobial drug used in the treatment and prevention of bacterial infections. They may either kill or inhibit the growth of bacteria.
   • Classes of antibiotics
   • mechanism of action
   • side effects

3. Burn complications

   • infections
     • sepsis
   • Swollen lymph nodes
   • blood complications
     • Low blood volume
     • blood clots
   • hypothermia
   • breathing problems
   • psychological complications
     • Depression
     • anexiety disorders
     • PSTD 30%

4. Healing and repair

5. Types of cell death

6. normal flora

   • Bacteria mostly, some fungi and protozoa

7. How to deal with patients who strongly want antibiotic prescribtion

   • take history properly and ask about concerns
     • show care to the patient
   • convince the patient in a nice, smart way
     • the patient might seek antibiotics somewhere else if not convineced!

8. food poisoning

   • Preventitive food measures
     • rules to follow

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