Burns

Etiology:

▪ Fire, chemical, electrical

▪ Assessment of burn:

– Degree (1st, 2nd, 3rd)

– % body surface area (Rule of 9’s)

– Parklands formula (calculation for fluid administration)

Pathophysiology:

▪ Heat disturbs protein 3D structure → dysfunctional proteins

▪ Disruption of skin sensation

▪ Tissue/endothelial injury and inflammation

▪ Increased capillary permeability → edema

▪ Loss of water and plasma causing dehydration

▪ Electrolytes imbalance → lose everything from intravascular space

▪ Hypovolemia, multiorgan damage

Rule of nines

▪ Method for estimating percentage of body surface area impacted by burn

Clinical manifestations:

▪ Edema

▪ Manifestations of dehydration

▪ Manifestations of hypovolemia

▪ Organ failure

▪ Death results from dehydration, poor organ perfusion and renal failure