Examination of burns

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Chapter 42 Examination of burns


Yezen Sheena, Edmund Fitzgerald O’Connor, Petrut Gogalniceanu and Henk Giele



Acute burns




Checklist



WIPER



Physiological parameters



General




Resuscitate patient.



ITU support: airway, hydration, analgesia and antibiotics.



Comment on dressings already applied.



Look




Site of the burn



Airway compromise risk factors: singed nasal hairs, perioral burns, blistered palate, swelling of tongue or naso-oral mucosa, hoarse voice due to laryngo-oedema, swollen uvula



Percentage of total body surface area (TBSA) burnt



Circumferential burns to chest or limbs



Depth of burn:




superficial (epidermal)



superficial partial-thickness (superficial dermal)



deep partial-thickness (deep dermal)



full-thickness



Assess any structure(s) involved at the base of the burn.



Feel




Sensation/tenderness



Capillary refill time in burn, peripheral and centrally



Moist or dry burn



Assess peripheral pulses



Assess chest movements if any circumferential burns



Identify compartment syndrome in circumferential limb burns



Move




Movement of underlying joints


Feb 18, 2017 | Posted by in GENERAL SURGERY | Comments Off on Examination of burns

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