Burn Management, An Issue of Surgical Clinics

1st Edition, Volume 103-3 - May 9, 2023
Editor: Ronald F. Martin
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 1 7 3 - 3
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 1 7 4 - 0

In this issue, guest editors bring their considerable expertise to this important… Read more

Burn Management, An Issue of Surgical Clinics

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In this issue, guest editors bring their considerable expertise to this important topic.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Introduction: The Multidisciplinary Team Approach to Burn Care
Key points
Introduction: the multidisciplinary team approach to burn care
Summary
Declaration of Interests
Outpatient and Minor Burn Treatment
Key points
Introduction
Patient selection
First aid and initial wound management
Definitive wound management
Pain management
The multidisciplinary team
Management of complications
Burn-wound infection
Toxic shock syndrome
Inadequate burn-wound healing
Telemedicine and burns
Education and prevention
Long-term management
Summary
Clinics care points
Declaration of Interests
Prehospital and Emergency Management
Key points
Epidemiology/Introduction
Prehospital management
Evaluation in the emergency department
Early management
Disposition
Clinics care points
Declaration of interests
The First 24 Hours: Burn Shock Resuscitation and Early Complications
Key points
Introduction
Burn pathophysiology
Resuscitation formulas
Complications and management
Summary
Clinics care points
Disclosure
Critical Care of the Burn Patient
Key points
Phases of burn care
Team-based and systems-based care
Neurologic system
Pulmonary
Cardiovascular system
Gastrointestinal system
Renal system
Electrolyte derangements
Hematologic system
Infectious disease
Nutrition and metabolism
Palliative and comfort care
Disposition of burn patients
Summary
Clinics care points
Disclosure
Infections in Burn Patients
Key points
Introduction
Immunosuppression
Diagnosis of infection in burned patients
Management
Infection prevention and control
Clinics care points
Acute Respiratory Distress Syndrome, Mechanical Ventilation, and Inhalation Injury in Burn Patients
Key points
Acute respiratory distress syndrome
Positive end-expiratory pressure
Strategies for refractory hypoxemia
Inhalation injury
Summary
Clinics care points
Disclosure
The Burn Wound
Key points
Pathophysiology of the burn wound
Clinical evaluation of burn wound depth
Zones of injury and wound conversion
Biology of wound healing
Burn wound care and coverage
Summary
Clinics care points
Disclosures
Acute Surgical Management of the Burn Patient
Key points
Introduction
Nature of the problem
Preoperative planning
Burn-wound excision
Burn wound closure
Recovery
Complications
Summary
Clinics care points
Disclosure
Metabolic and Nutritional Support
Key points
Hypermetabolic response
Nutritional support
Other nutrients
Pharmacologic modalities to attenuate hypermetabolism
Summary
Funding
Clinics care points
Critical Care Rehabilitation of the Burn Patient
Key points
Introduction
Consequences of prolonged bed rest
Rehabilitation in the burn intensive care unit
Future directions
Summary
Clinics care points
Disclosure
Pharmacologic Management of Pain, Agitation, and Delirium in Burn Patients
Key points
Introduction
Pain
Agitation
Delirium
Clinics care points
Summary
Disclosure
Long-Term Outcomes in Burn Patients
Key points
Introduction
Contracture
Neuropathy
Heterotopic ossification
Amputation
Heat sensitivity and tolerance
Outcomes
Summary
Clinics care points
Declaration of Interests
Burn Scar Management and Reconstructive Surgery
Key points
Background
Developing a comprehensive treatment plan
Description of burn scars
Treatment modalities
Emerging scar management strategies
Surgical burn-scar management
Treatment resistance and complications
Summary
Clinics care points
Military Burn Care and Burn Disasters
Key points
Introduction
Military burn care
Role I (prehospital) care
Care at Roles II and III
Aeromedical evacuation
Care of host nationals
Burn disasters
Concept of operations
Medical management
Transnational considerations
Summary
Declaration of Interests
Radiation Injuries
Key points
Introduction
Irradiation versus contamination
Types of ionizing radiation
Quantifying radiation exposure and effects
Risk assessment
Pathophysiology: local radiation injury
Pathophysiology: acute radiation syndrome
Actions at the scene
Decontamination
Initial assessment
Diagnosis of localized radiation injury/acute radiation syndrome
Treatment of localized radiation injury/acute radiation syndrome
Iodine and potassium iodine
Summary
Clinics care points
Disclosure
Burn Care in Low-Resource and Austere Settings
Key points
Introduction
Emergency Care and Resuscitation
Holistic Burn Care
Summary
Clinics care points

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Burn Management, An Issue of Surgical Clinics

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Ronald F. Martin