Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
1.6 - Principles of Assessment and Initial Management of the Patient with Burns
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
Published online by Cambridge University Press: 27 July 2023
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. Depth and extent of the burn determine management and the need for referral.
2. Lund and Browder charts should be used to estimate the extent of burn (% total body surface area (TBSA)).
3. Increasing age, % TBSA involved and associated inhalation injury correlate with severity.
4. Severe burns require burn shock resuscitation and should be managed in a burns centre.
5. The Parkland formula provides a guide to initial resuscitative fluid requirements.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 14 - 17Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
Guttormsen, AB, Berger, MM, Sjoberg, F, Heisterkamp, H. ESICM PACT. Burns injury. 2012. www.yumpu.com/en/document/view/27690157/burns-injury-pact-esicmGoogle Scholar
Hettiaratchy, S, Papini, R. ABC of burns. Initial management of a major burn: I–overview. BMJ 2004;328:1555–7.CrossRefGoogle Scholar
Hettiaratchy, S, Papini, R. ABC of burns. Initial management of a major burn: II–assessment and resuscitation. BMJ 2004;329:101–3.CrossRefGoogle Scholar
National Network for Burn Care. National burn care referral guidance. Version 1. 2012. www.britishburnassociation.org/wp-content/uploads/2018/02/National-Burn-Care-Referral-Guidance-2012.pdfGoogle Scholar
National Network for Burn Care. National burn care standards. 2013. www.britishburnassociation.org/wp-content/uploads/2017/06/National_Burn_Care_Standards_2013.pdfGoogle Scholar