Burn overview: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(3 intermediate revisions by the same user not shown)
Line 14: Line 14:


A burn is an [https://www.wikidoc.org/index.php/Injury injury] caused by [https://www.wikidoc.org/index.php/Heat heat], [https://www.wikidoc.org/index.php/Temperature cold], [https://www.wikidoc.org/index.php/Electricity electricity], [https://www.wikidoc.org/index.php/Chemicals chemicals], [https://www.wikidoc.org/index.php/Light light], [https://www.wikidoc.org/index.php/Radiation radiation], or [https://www.wikidoc.org/index.php/Friction friction]. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. [https://www.wikidoc.org/index.php/Muscle Muscle], [https://www.wikidoc.org/index.php/Bone bone], [https://www.wikidoc.org/index.php/Blood_vessel blood vessel], and [https://www.wikidoc.org/index.php/Epidermis_(skin) epidermal tissue] can all be damaged with subsequent pain due to profound injury to [https://www.wikidoc.org/index.php/Nerve_ending nerve endings]. Depending on the location affected and the degree of severity, a burn victim may experience a wide number of potentially fatal complications including [https://www.wikidoc.org/index.php/Shock_(medical) shock], [https://www.wikidoc.org/index.php/Infection infection], [https://www.wikidoc.org/index.php/Electrolyte_imbalance electrolyte imbalance] and [https://www.wikidoc.org/index.php/Respiratory_distress respiratory distress]. Beyond physical complications, [https://www.wikidoc.org/index.php/Burns burns] can also result in severe psychological and emotional distress due to [https://www.wikidoc.org/index.php/Scarring scarring] and deformity
A burn is an [https://www.wikidoc.org/index.php/Injury injury] caused by [https://www.wikidoc.org/index.php/Heat heat], [https://www.wikidoc.org/index.php/Temperature cold], [https://www.wikidoc.org/index.php/Electricity electricity], [https://www.wikidoc.org/index.php/Chemicals chemicals], [https://www.wikidoc.org/index.php/Light light], [https://www.wikidoc.org/index.php/Radiation radiation], or [https://www.wikidoc.org/index.php/Friction friction]. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. [https://www.wikidoc.org/index.php/Muscle Muscle], [https://www.wikidoc.org/index.php/Bone bone], [https://www.wikidoc.org/index.php/Blood_vessel blood vessel], and [https://www.wikidoc.org/index.php/Epidermis_(skin) epidermal tissue] can all be damaged with subsequent pain due to profound injury to [https://www.wikidoc.org/index.php/Nerve_ending nerve endings]. Depending on the location affected and the degree of severity, a burn victim may experience a wide number of potentially fatal complications including [https://www.wikidoc.org/index.php/Shock_(medical) shock], [https://www.wikidoc.org/index.php/Infection infection], [https://www.wikidoc.org/index.php/Electrolyte_imbalance electrolyte imbalance] and [https://www.wikidoc.org/index.php/Respiratory_distress respiratory distress]. Beyond physical complications, [https://www.wikidoc.org/index.php/Burns burns] can also result in severe psychological and emotional distress due to [https://www.wikidoc.org/index.php/Scarring scarring] and deformity


==Causes==
==Causes==




Burn injury may be caused by chemicals, friction, [[electricity]], radiation, extreme temperatures(hot and cold) and Inhalation injury in burns.
[[Burn (injury)|Burn]] injury may be caused by [[chemicals]], friction, [[electricity]], [[radiation]], extreme [[temperatures]](hot and cold) and [[Inhalation]] injury in [[burns]].
 
 
 


==Differentiating (Disease name) from other Conditions==
==Differentiating (Disease name) from other Conditions==


==Epidemiology and Demographics==
==Epidemiology and Demographics==




Burn injuries is the most frequently observed form of scald (thermal) injuries, and it typically develops in Children, younger children and younger patients. An estimated 1,344,100 fires Americans of all ages have burn injuries. An estimated patients aged 20 and 30 years are the most prevalent age group . Burn injuries has been known to affect females more than males. people of low and middle income and people in low-income countries are more likely to develop burn injuries than older whites. Pulmonary complications following burns and inhalation injury are responsible for up to 77 percent of the deaths.
[[Burn (injury)|Burn]] injuries is the most frequently observed form of scald (thermal) injuries, and it typically develops in Children, younger children and younger patients. An estimated 1,344,100 fires Americans of all ages have burn injuries. An estimated patients aged 20 and 30 years are the most prevalent age group . Burn injuries has been known to affect females more than males. people of low and middle income and people in low-income countries are more likely to develop burn injuries than older whites. Pulmonary complications following burns and inhalation injury are responsible for up to 77 percent of the deaths.
 


==Risk Factors==
==Risk Factors==




 
Natural History, Complications and Prognosis
 
==Natural History, Complications and Prognosis==


[[Burn (injury)|Burn]]<nowiki/>s injuries is a common condition that involves complications such as the [[disability]] . If left untreated, progresses from early stage of [[Burn (injury)|burn]] to advanced skin [[Scar tissue|scar]] and [[contraction]]. Common complications of [[Burn (injury)|burn]]<nowiki/>s injuries include [[infection]], bedsores, post-burn [[seizures]], [[hypertrophic]] [[Scar tissue|scar]]<nowiki/>s and [[Keloid scar|keloid]]<nowiki/>s, [[Respiratory]] complications, [[systemic]] complications. There is a cure for [[Burn (injury)|burn]]<nowiki/>s injuries and the treatment focuses on the stage of the [[Burn (injury)|burn]]( size and [[Depth of field|depth]]) so [[fluid resuscitation]], wound [[Excision repair|excision]], [[grafting]] and coverage, infection control and [[nutritional]] support can be part of the management of the [[Burn (injury)|burn]] injuries.
[[Burn (injury)|Burn]]<nowiki/>s injuries is a common condition that involves complications such as the [[disability]] . If left untreated, progresses from early stage of [[Burn (injury)|burn]] to advanced skin [[Scar tissue|scar]] and [[contraction]]. Common complications of [[Burn (injury)|burn]]<nowiki/>s injuries include [[infection]], bedsores, post-burn [[seizures]], [[hypertrophic]] [[Scar tissue|scar]]<nowiki/>s and [[Keloid scar|keloid]]<nowiki/>s, [[Respiratory]] complications, [[systemic]] complications. There is a cure for [[Burn (injury)|burn]]<nowiki/>s injuries and the treatment focuses on the stage of the [[Burn (injury)|burn]]( size and [[Depth of field|depth]]) so [[fluid resuscitation]], wound [[Excision repair|excision]], [[grafting]] and coverage, infection control and [[nutritional]] support can be part of the management of the [[Burn (injury)|burn]] injuries.
Line 61: Line 51:
===Laboratory Findings===
===Laboratory Findings===


 
There are no specific diagnostic [[laboratory]] findings associated with [[Burn (injury)|burn]] injury. However, [[laboratory]] findings are done to the estimate the severity of the [[Burn (injury)|burn]] and the [[Symptoms|symptom]]<nowiki/>s. These include [[CBC]] analysis like increase [[WBC]] for [[infection]] and [[inflammation]] , [[RBC]] decrease due to [[trauma]] of the [[burn]], high [[hematocrit]], because of lost a lot of [[Fluid balance|fluid]] from leaky [[blood vessels]]. [[BUN]] reflects [[kidney damage]], decrease total [[Protein]], [[albumin]], and [[globulin]] values ([[proteins]] have been lost through damaged [[blood vessels]]).




===Electrocardiogram===
===Electrocardiogram===


 
[[ECG]] has minimal diagnostic value in diagnosing [[burns]] but plays a role in diagnosing concurrent conduction abnormalities and monitoring side effects of sever and [[Electrical burns|electrical]] weapons . [[Electrocardiogram]] of a patient with acute [[Burn (injury)|burn]] injury may show [[prolonged QT]] and [[sinus tachycardia]] .Fatal [[cardiac arrest]] by [[Electrical injury|electrical]] weapons .




Line 81: Line 71:
===Other Imaging Findings===
===Other Imaging Findings===


 
[[CT scan]] of the [[Burn (injury)|burn]] may be helpful in the diagnosis of [[Burn (injury)|burn]] injury. Findings include [[skin]] thickening, subcutaneous [[Soft tissue pathology|soft tissue]], and The [[deep fascia]] and underlying [[muscle]] layer. [[Computed tomography]] ([[CT-scans|CT]]) the [[chest]] evaluate the [[lungs]] for [[inhalation]] [[injury]] and [[Smoke inhalation|smoke inhalation<br />]]
==Treatment==
==Treatment==



Latest revision as of 08:59, 2 March 2021

Burn Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Burn overview On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Burn overview

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Burn overview

CDC on Burn overview

Burn overview in the news

Blogs on Burn overview

Directions to Hospitals Treating Burn

Risk calculators and risk factors for Burn overview

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eman Alademi, M.D.[2]

Overview

A burn is an injury caused by heat, cold, electricity, chemicals, light, radiation, or friction. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. Muscle, bone, blood vessel, and epidermal tissue can all be damaged with subsequent pain due to profound injury to nerve endings. Depending on the location affected and the degree of severity, a burn victim may experience a wide number of potentially fatal complications including shock, infection, electrolyte imbalance and respiratory distress. Beyond physical complications, burns can also result in severe psychological and emotional distress due to scarring and deformity.

Historical Perspective

The first case of burns injury was discovered from more than 3,500 years ago. French barber-surgeon Ambroise Paré was the first to describe different degrees of burns in the 1500s. For many decades after original description, there was little progress in defining the pathogenesis of burns occurred and different treatment. In the 1900's, it was found that the development of modern burn care began by Arabian physician his name Rhazes, at about the ninth century. In 1940's major advances procedure was acknowledged(skin graft). to improve the body structure and early wound healing of patients. The term was subsequently formally adopted in medical nomenclature to describe individuals of all ages with a characteristic common symptom pattern, disease causes, and treatment.

Classification

Burns may be classified according to severity into first, second and third degree burn injury. It may also be classified based on superficial and deep categories into "Superficial Thickness" , "Partial Thickness" of burns.

Pathophysiology

A burn is an injury caused by heat, cold, electricity, chemicals, light, radiation, or friction. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. Muscle, bone, blood vessel, and epidermal tissue can all be damaged with subsequent pain due to profound injury to nerve endings. Depending on the location affected and the degree of severity, a burn victim may experience a wide number of potentially fatal complications including shock, infection, electrolyte imbalance and respiratory distress. Beyond physical complications, burns can also result in severe psychological and emotional distress due to scarring and deformity

Causes

Burn injury may be caused by chemicals, friction, electricity, radiation, extreme temperatures(hot and cold) and Inhalation injury in burns.

Differentiating (Disease name) from other Conditions

Epidemiology and Demographics

Burn injuries is the most frequently observed form of scald (thermal) injuries, and it typically develops in Children, younger children and younger patients. An estimated 1,344,100 fires Americans of all ages have burn injuries. An estimated patients aged 20 and 30 years are the most prevalent age group . Burn injuries has been known to affect females more than males. people of low and middle income and people in low-income countries are more likely to develop burn injuries than older whites. Pulmonary complications following burns and inhalation injury are responsible for up to 77 percent of the deaths.

Risk Factors

Natural History, Complications and Prognosis

Burns injuries is a common condition that involves complications such as the disability . If left untreated, progresses from early stage of burn to advanced skin scar and contraction. Common complications of burns injuries include infection, bedsores, post-burn seizures, hypertrophic scars and keloids, Respiratory complications, systemic complications. There is a cure for burns injuries and the treatment focuses on the stage of the burn( size and depth) so fluid resuscitation, wound excision, grafting and coverage, infection control and nutritional support can be part of the management of the burn injuries.

Diagnosis

History and Symptoms

Although each patient experiences burn injury in a unique way, there are many common symptoms. The symptoms of burn we can divided it in to two types, skin and airways symptoms.


Physical Examination

Patients with burn injury usually appear as burned(injury) skin . When a doctor or physician has been admitted burned patient, the diagnosis is usually known by physical examination of the patient. Physical examination of burn injury consists of a thorough of thickness and total body surface area of the patient body. Patient may be have burn on his head, neck, arm, leg, Anterior trunk,Posterior trunk, and genitalia.


Laboratory Findings

There are no specific diagnostic laboratory findings associated with burn injury. However, laboratory findings are done to the estimate the severity of the burn and the symptoms. These include CBC analysis like increase WBC for infection and inflammation , RBC decrease due to trauma of the burn, high hematocrit, because of lost a lot of fluid from leaky blood vessels. BUN reflects kidney damage, decrease total Protein, albumin, and globulin values (proteins have been lost through damaged blood vessels).


Electrocardiogram

ECG has minimal diagnostic value in diagnosing burns but plays a role in diagnosing concurrent conduction abnormalities and monitoring side effects of sever and electrical weapons . Electrocardiogram of a patient with acute burn injury may show prolonged QT and sinus tachycardia .Fatal cardiac arrest by electrical weapons .


Chest X Ray

Echocardiography or Ultrasound

Other Imaging Findings

CT scan of the burn may be helpful in the diagnosis of burn injury. Findings include skin thickening, subcutaneous soft tissue, and The deep fascia and underlying muscle layer. Computed tomography (CT) the chest evaluate the lungs for inhalation injury and smoke inhalation

Treatment

Medical Therapy

Surgery

Prevention

Education, engineering, and enforcement are often recommended as both a possible prevention and a sensible way of managing the burn injury. Combination of prevention and care strategies have made progress reducing the incidence of burn injuries and burn severity and lowering rates of burn death and length of hospital stay.


References