In:
Therapeutische Umschau, Hogrefe Publishing Group, Vol. 64, No. 9 ( 2007-09-01), p. 505-515
Abstract:
Burn injuries are very frequent, most being trifle cases. Nevertheless every year about 200 patients need to be treated in one of the two specialised Swiss burns centres. Admission criteria are burns 〉 15% body surface or burns to critical areas (face neck, hands, genitalia, joints) and electrical injuries. The paper reviews the physiophathology of the burn wound which differs depending on the thermal or electrical aetiology. The airway may be threatened due to true inhalation, but also to burns to the face or neck. In major burns 〉 20% body surface in adults, or 〉 10% in children, fluid resuscitation will be required; oral hydration is generally sufficient by smaller burns. Surgical treatment of 2 nd and 3 rd degree burns starts within the first 24 days after injury. While complex treatment is generally available in peace time, a major accident such as a disco-fire that can generate hundreds casualties in a few minutes, can threaten our system and force the adoption of triage rules, and simplified treatments. Attitudes to adopt in such conditions are discussed.
Type of Medium:
Online Resource
ISSN:
0040-5930
,
1664-2864
DOI:
10.1024/0040-5930.64.9.505
Language:
German
Publisher:
Hogrefe Publishing Group
Publication Date:
2007
detail.hit.zdb_id:
82044-1
