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[Burns. Primary management and clinical therapy].
Versicherungsmedizin
|July 1, 1989
Summary
Immediate burn care, including cool-water therapy and Ringerlactate infusion, is crucial. Severe burns require transfer to a burn center for timely wound management and definitive coverage, potentially using advanced techniques like in vitro grown keratinocytes.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Burn Care
Context:
- Immediate management of burn patients is critical for survival and optimal outcomes.
- Early assessment of burn depth and extent guides treatment decisions.
- Specialized care in burn centers is necessary for severe burns.
Purpose:
- To outline the essential steps in the initial management and subsequent treatment of burn injuries.
- To emphasize the importance of timely intervention and transfer to specialized facilities.
- To review current and emerging surgical techniques for burn wound coverage.
Summary:
- Initial management includes cool-water therapy, Ringerlactate infusion, sterile wound covering, and early intubation for inhalation trauma.
- Patients with burns exceeding 15% Total Body Area (TBA) in adults (5% in children) or involving hands/face need immediate burn center transfer.
- Hospital treatment involves wound cleansing, depth assessment, debridement, and wound coverage using various grafting methods, including autografts and in vitro keratinocytes.
Impact:
- Establishes a clear protocol for pre-hospital and in-hospital burn care.
- Highlights the critical role of specialized burn centers in managing severe injuries.
- Introduces advanced therapeutic options for definitive burn wound reconstruction.