Sub Logo

Dr K K Aggarwal

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First Aid in Burns

  • Patients with severe thermal burns have a considerable risk of death and morbidity.
  • Check for evidence of respiratory distress and smoke inhalation injury, which is a common cause of death in case of acute burn injury.
  • Laryngeal edema can develop suddenly.
  • Fluid resuscitation and the need for transfer are guided by burn depth and size.
  • Vascular collapse from burn shock is a crucial factor.
  • It is important to initiate rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end-organ perfusion.
  • The fluid requirement during the initial 24 hours of treatment is 4 mL/kg body weight for each percent of total body surface area burned, given IV. Superficial burns are not included in this calculation. Half of the calculated fluid need is to be given in the initial 8 hours; the remaining half is given over the next 16 hours.
  • It is important to monitor urine output and to maintain hourly urine output at 0.5 mL/kg in adults.
  • Burn patients may have been exposed to carbon monoxide and require high-flow oxygen.
  • Cool and clean the burn wounds, but avoid inducing hypothermia.
  • Any jewellery and any hot or burned clothing and debris not adherent to the skin must be removed.
  • Irrigation with cool water may be used.
  • Topical antibiotics to be applied to all non-superficial burns.
  • Give opioids for pain management; provide tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on First Aid in Burns

Patients with severe thermal burns are at significant risk of death and major morbidity. Look for evidence of respiratory distress and smoke inhalation injury a common cause of death in the acute burn victim. Laryngeal edema can develop suddenly and unexpectedly. Burn depth and size determine fluid resuscitation and the need for transfer. Vascular collapse from burn shock is a critical component. Rapid aggressive fluid resuscitation to reconstitute intravascular volume and maintain end organ perfusion is crucial. The fluid requirement during the initial 24 hours of treatment is 4 mL kg of body weight for each percent of total body surface area burned given IV. Superficial burns are excluded from this calculation. One half of the calculated fluid need is given in the first 8 hours the remaining half is given over the subsequent 16 hours. It is important to monitor urine output. Hourly urine output should be maintained at 0.5 mL kg in adults. Burn patients may be exposed to carbon monoxide and require immediate treatment with high flow oxygen. Cool and clean wounds but avoid inducing hypothermia. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin. Irrigation with cool water may be used. Topical antibiotics are applied to all non superficial burns. Give opioids morphine to treat pain and give tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First Aid in Burns

  • Patients with severe thermal burns are at significant risk of death and major morbidity.
  • Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  • Laryngeal edema can develop suddenly and unexpectedly.
  • Burn depth and size determine fluid resuscitation and the need for transfer.
  • Vascular collapse from burn shock is a critical component.
  • Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  • The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of total body surface area burned, given IV. Superficial burns are excluded from this calculation. One-half of the calculated fluid need is given in the first 8 hours; the remaining half is given over the subsequent 16 hours.
  • It is important to monitor urine output. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  • Burn patients may be exposed to carbon monoxide and require immediate treatment with high–flow oxygen.
  • Cool and clean wounds, but avoid inducing hypothermia.
  • Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  • Irrigation with cool water may be used.
  • Topical antibiotics are applied to all non superficial burns.
  • Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off on First Aid in Burns

  • Patients with severe thermal burns are at significant risk of death and major morbidity.
  • Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  • Laryngeal edema can develop suddenly and unexpectedly.
  • Burn depth and size determine fluid resuscitation and the need for transfer.
  • Vascular collapse from burn shock is a critical component.
  • Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  • The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of total body surface area burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first 8 hours, and the remaining half is given over the subsequent 16 hours.
  • Monitor urine output is important.
  • Hourly urine output should be maintained at 0.5 mL/kg in adults.
  • Carbon monoxide and cyanide: Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  • Cool and clean wounds, but avoid inducing hypothermia.
  • Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  • Irrigation with cool water may be used.
  • Topical antibiotics are applied to all non superficial burns.
  • Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on First Aid in Burns

  1. Patients with severe thermal burns are at significant risk of death and major morbidity.
  2. Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  3. Laryngeal edema can develop suddenly and unexpectedly.
  4. Burn depth and size determine fluid resuscitation and the need for transfer.
  5. Vascular collapse from burn shock is a critical component.
  6. Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  7. The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.
  8. Monitor urine output is important
  9. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  10. Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  11. Cool and clean wounds, but avoid inducing hypothermia.
  12. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  13. Irrigation with cool water may be used.
  14. Topical antibiotics are applied to all non superficial burns.
  15. Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on First Aid in Burns

  1. Patients with severe thermal burns are at significant risk of death and major morbidity.
  2. Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
  3. Laryngeal edema can develop suddenly and unexpectedly.
  4. Burn depth and size determine fluid resuscitation and the need for transfer.
  5. Vascular collapse from burn shock is a critical component.
  6. Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end–organ perfusion is crucial.
  7. The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One–half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.
  8. Monitor urine output is important
  9. Hourly urine output should be maintained at 0.5 mL/kg in adults.
  10. Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high–flow oxygen.
  11. Cool and clean wounds, but avoid inducing hypothermia.
  12. Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
  13. Irrigation with cool water may be used.
  14. Topical antibiotics are applied to all non superficial burns.
  15. Give opioids (morphine) to treat pain and give tetanus prophylaxis.

First Aid in Burns

By
Filed Under Wellness | Tagged With: , , , , | | Comments Off on First Aid in Burns

1. Patients with severe thermal burns are at significant risk of death and major morbidity.

2.Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.

3.Laryngeal edema can develop suddenly and unexpectedly.

4.Burn depth and size determine fluid resuscitation and the need for transfer.

5.Vascular collapse from burn shock is a critical component.

6.Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end-organ perfusion is crucial.

7.The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of TBSA burned, given IV. Superficial burns are excluded from this calculation. One-half of the calculated fluid need is given in the first eight hours, and the remaining half is given over the subsequent 16 hours.

8.Monitor urine output is important

9.Hourly urine output should be maintained at 0.5 mL/kg in adults.

10.Carbon monoxide and cyanide – Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high-flow oxygen.

11.Cool and clean wounds, but avoid inducing hypothermia.

12.Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.

13.Irrigation with cool water may be used.

14.Topical antibiotics are applied to all non superficial burns.

15.Give opioids (morphine) to treat pain and give tetanus prophylaxis.