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Initial management of the burned patient.

Authors
Monafo-WW
Source
Occupational safety and health symposia 1977. Cincinnati, OH: U.S. Department of Health, Education, and Welfare, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, DHEW (NIOSH) Publication No. 78-169, 1978 Jun; :248-254
Link
NIOSHTIC No.
00184907
Abstract
The emergency treatment of burn patients was reviewed with regard to successful resuscitation and avoidance of later, serious complications. The initial management strategy required an accurate and detailed history of the thermal injury to determine burn depth and the likelihood of associated injury. The rank order for burn depth from surface to deep tissue was immersion and scald injuries, flash burns, flame burns associated with ignition of clothing, and pure electrical burns. The special attention necessitated by electrical injuries and severe inhalation injury related to exposure of the respiratory epithelium to toxic gases were described. Procedures identified for the initial management of the respiratory system included a drug screening blood sample, transnasal oxygen enrichment, thoracic escharotomy to reduce dyspnea and tachypnea, and endotracheal intubation, and nasogastric tube decompression with emptying of the stomach. The major circulatory management strategy was intravenous saline infusion with salt water therapy. Wound treatment, hospitalization, and when to transfer to a burn center were discussed.
Keywords
Medical-treatment; Emergency-care; Clinical-diagnosis; Electrical-burns; First-aid; Thermal-effects; Toxic-gases; Pulmonary-system-disorders
Publication Date
19780601
Document Type
Conference/Symposia Proceedings
Fiscal Year
1978
NTIS Accession No.
NTIS Price
Source Name
Occupational safety and health symposia 1977
State
MO; OH
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