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Initial Evaluation and Management of the Burn Patient: Multimedia

Author: Prem C Shukla, MD, Associate Chairman, Associate Professor, Department of Emergency Medicine, University of Arkansas for Medical Sciences
Coauthor(s): Robert L Sheridan, MD, Assistant Chief of Staff, Chief of Burn Surgery, Shriners Burns Hospital; Associate Professor of Surgery, Department of Surgery, Division of Trauma and Burns, Massachusetts General Hospital and Harvard Medical School
Contributor Information and Disclosures

Updated: Feb 7, 2008

Multimedia

Initial evaluation and management of the burn pat...
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Media file 1: Initial evaluation and management of the burn patient. Burn size is best estimated using a chart that corrects for changes in body proportion with aging.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Burn size is best estimated using a chart that corrects for changes in body proportion with aging.

Initial evaluation and management of the burn pat...
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Media file 2: Initial evaluation and management of the burn patient. Second-degree burns are often red, wet, and very painful. Their depth, ability to heal, and tendency to result in hypertrophic scar formation vary enormously.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Second-degree burns are often red, wet, and very painful. Their depth, ability to heal, and tendency to result in hypertrophic scar formation vary enormously.

Initial evaluation and management of the burn pat...
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Media file 3: Initial evaluation and management of the burn patient. Third-degree burns are usually leathery in consistency, dry, and insensate. These wounds do not heal.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Third-degree burns are usually leathery in consistency, dry, and insensate. These wounds do not heal.

Initial evaluation and management of the burn pat...
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Media file 4: Initial evaluation and management of the burn patient. Management of burn blisters is controversial. Burn blisters occasionally obscure the presence of full-thickness wounds.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Management of burn blisters is controversial. Burn blisters occasionally obscure the presence of full-thickness wounds.

Initial evaluation and management of the burn pat...
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Media file 5: Initial evaluation and management of the burn patient. Burn wound cellulitis manifests with increasing erythema, swelling, and pain in uninjured skin around the periphery of a wound.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Burn wound cellulitis manifests with increasing erythema, swelling, and pain in uninjured skin around the periphery of a wound.

Initial evaluation and management of the burn pat...
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Media file 6: Initial evaluation and management of the burn patient. Invasive burn wound infection implies that bacteria or fungi are proliferating in eschar and invading underlying viable tissues. These wounds display a change in color, new drainage, and often a foul odor. These infections are life-threatening.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Invasive burn wound infection implies that bacteria or fungi are proliferating in eschar and invading underlying viable tissues. These wounds display a change in color, new drainage, and often a foul odor. These infections are life-threatening.

Initial evaluation and management of the burn pat...
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Media file 7: Initial evaluation and management of the burn patient. If hand positioning and therapy are ignored while overlying burns heal, poor long-term function may result.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. If hand positioning and therapy are ignored while overlying burns heal, poor long-term function may result.

Initial evaluation and management of the burn pat...
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Media file 8: Initial evaluation and management of the burn patient. Estimating the burn area in an adult patient.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Estimating the burn area in an adult patient.

Initial evaluation and management of the burn pat...
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Media file 9: Initial evaluation and management of the burn patient. Estimating the burn area in a child.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Estimating the burn area in a child.

Initial evaluation and management of the burn pat...
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Media file 10: Initial evaluation and management of the burn patient. Escharotomy incisions.
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Initial evaluation and management of the burn pat...

Initial evaluation and management of the burn patient. Escharotomy incisions.

Partial-thickness burn.
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Media file 11: Partial-thickness burn.
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Partial-thickness burn.

Partial-thickness burn.

A 2-year-old child with a scald burn to the hand.
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Media file 12: A 2-year-old child with a scald burn to the hand.
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A 2-year-old child with a scald burn to the hand.

A 2-year-old child with a scald burn to the hand.

Proper functional positioning for splinting of se...
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Media file 13: Proper functional positioning for splinting of serious hand burns is the metacarpophalangeal joints are at 70-90° of flexion, the interphalangeal joints are in extension, the wrist is at 20° of extension, and the first web space is open.
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Proper functional positioning for splinting of se...

Proper functional positioning for splinting of serious hand burns is the metacarpophalangeal joints are at 70-90° of flexion, the interphalangeal joints are in extension, the wrist is at 20° of extension, and the first web space is open.

More on Initial Evaluation and Management of the Burn Patient

References
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Further Reading

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Keywords

burn, heat injury, electrical injury, lightening injury, chemical injury, thermal injury, electric shock, high-voltage injury, first-degree burn, second-degree burn, third-degree burn, 1st degree burn, 2nd degree burn, 3rd degree burn, escharotomy

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Contributor Information and Disclosures

Author

Prem C Shukla, MD, Associate Chairman, Associate Professor, Department of Emergency Medicine, University of Arkansas for Medical Sciences
Prem C Shukla, MD is a member of the following medical societies: American Academy of Emergency Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Robert L Sheridan, MD, Assistant Chief of Staff, Chief of Burn Surgery, Shriners Burns Hospital; Associate Professor of Surgery, Department of Surgery, Division of Trauma and Burns, Massachusetts General Hospital and Harvard Medical School
Robert L Sheridan, MD is a member of the following medical societies: American Academy of Pediatrics, American Association for the Surgery of Trauma, American Burn Association, and American College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

H Scott Bjerke, MD, FACS, Clinical Associate Professor, Department of Surgery, Indiana University School of Medicine, Medical Director of Trauma Services, Methodist Hospital, Clarian Health Partners, Inc
H Scott Bjerke, MD, FACS is a member of the following medical societies: American Association for the History of Medicine, American Association for the Surgery of Trauma, American College of Surgeons, Association for Academic Surgery, Eastern Association for the Surgery of Trauma, Midwest Surgical Association, National Association of EMS Physicians, Pan-Pacific Surgical Association, Royal Society of Medicine, Southwestern Surgical Congress, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Michael A Grosso, MD, Consulting Staff, Department of Cardiothoracic Surgery, St Francis Hospital
Michael A Grosso, MD is a member of the following medical societies: American College of Surgeons, Society of Thoracic Surgeons, and Society of University Surgeons
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

John Geibel, MD, DSc, MA, Professor, Department of Surgery, Section of Gastrointestinal Medicine and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of Surgical Research, Department of Surgery, Yale-New Haven Hospital
John Geibel, MD, DSc, MA is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, and Society for Surgery of the Alimentary Tract
Disclosure: AMGEN Royalty Other; AMGEN Consulting fee Consulting

 
 
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