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-blisteringtobackandchest,Rupperve

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

3、proximatingburninjuries.Describeandapplytreatmentmodalitiesfortheburnpatient.Burns,thermal.Escharotomytoreleasechestwallandallowforventilationofthepatient.SkinLargestorganofthebodyAnatomyEpidermisDermisSubcutaneoustissueLayersEpidermisDermisSubcutaneosUnderlyingStructuresFasciaNervesTendonsLigament

4、sMusclesOrgansAnatomy&PhysiologyoftheSkinFunctionProtectionRegulationPreventionSensoryEpidermisOuter,thinnerlayerConsistsofdeadkeratinizedcellsProtectsdehydrationtraumalightinfectionDermisGellikematrixConsistsofcollagenandelastinContainsbloodvessels,lymphatics,sweatglands,hairfollicles,sensoryfibe

5、rsSubcutaneousConnectivetissueAdiposetissuecushioninginsulationCausesThermalElectricalChemicalRadiationThermalMajorityflamescaldcontactwithhotobjectsChildwithburnsfromascaldDeterminingSeverity1stdegree2nddegree3rddegree(4thdegree)DepthofBurnSuperficialBurnPartialThicknessBurnFullThicknessBurnFirstD

6、egreeSuperficialinvolveonlyepidermisLocalpainandrednessNoblisteringpresentHealspontaneously2-5dayswithoutscarringNotincludedwhencalculating%TBSABurnDepthSuperficialBurn:1stDegreeBurnSigns&SymptomsReddenedskinPainatburnsiteInvolvesonlyepidermisSecondDegreeInvolveepidermisanddermisPartialthicknesssu

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