外科急诊创伤（英文）烧伤

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1、BURNSLeaugeayWebreBS,CCEMT-P,NREMT-PScenarioParamediciscalledtothesceneofastructurefire.FDhasremovedavictimfromthehouse.BSIScenesafe1patientA/CstandbyFD/PDonsceneNowwhat?GeneralImpression33yomaleptwrithinginpain.Screamsandbegsforpainmedicationhoweverpoorhistorian.S-blisteringtobackandches

2、t,Rupperventralarealegexposedmuscle;eyebrowssingedA-PCN,codeineM-noneP-noneL-earliertodayE-wokeuponfireA-B-C-Transportdecision?%BSAburned?Tx?ObjectivesDescribethestructureandfunctionofskinDiscussthetypesofburns.Explainthedegreesofthermalburns.Discusscausesandtreatmentsofinhalationinjuries

3、.Identifymethodsofapproximatingburninjuries.Describeandapplytreatmentmodalitiesfortheburnpatient.Burns,thermal.Escharotomytoreleasechestwallandallowforventilationofthepatient.SkinLargestorganofthebodyAnatomyEpidermisDermisSubcutaneoustissueLayersEpidermisDermisSubcutaneosUnderlyingStructu

4、resFasciaNervesTendonsLigamentsMusclesOrgansAnatomy&PhysiologyoftheSkinFunctionProtectionRegulationPreventionSensoryEpidermisOuter,thinnerlayerConsistsofdeadkeratinizedcellsProtectsdehydrationtraumalightinfectionDermisGellikematrixConsistsofcollagenandelastinContainsbloodvessels,lymphati

5、cs,sweatglands,hairfollicles,sensoryfibersSubcutaneousConnectivetissueAdiposetissuecushioninginsulationCausesThermalElectricalChemicalRadiationThermalMajorityflamescaldcontactwithhotobjectsChildwithburnsfromascaldDeterminingSeverity1stdegree2nddegree3rddegree(4thdegree)DepthofBurnSuperfic

6、ialBurnPartialThicknessBurnFullThicknessBurnFirstDegreeSuperficialinvolveonlyepidermisLocalpainandrednessNoblisteringpresentHealspontaneously2-5dayswithoutscarringNotincludedwhencalculating%TBSABurnDepthSuperficialBurn:1stDegreeBurnSigns&SymptomsReddenedskinPainatburnsiteInvolvesonlyepid

7、ermisSecondDegreeInvolveepidermisanddermisPartialthicknesssuperficialpartialthicknessred,painful,blistereddeeppartialthicknesspale,mottledVerypainfulInfectionmayevolveinto3rddegreeBurnDepthPartial-ThicknessBurn:2ndDegreeBurnSigns&SymptomsIntensepainWhitetoredskinBli