RT Book, Section
A1 Hamm, Rose
A1 Carey, Joseph N.
SR Print(0)
ID 1179616184
T1 Burns
T2 Essential Elements of Wound Diagnosis
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260460476
LK accessmedicine.mhmedical.com/content.aspx?aid=1179616184
RD 2024/04/24
AB Dermal  injury  that  is  termed  “burn”  can  occur  from  thermal  (heat  and  cold),  chemical,  electrical,  and  radiation  sources,  and  while  the  clinical  presentations  have  some  similarities,  the  medical  management  of  each  condition  is  unique  and  specialized.  The  transfer  of  kinetic  energy  from  any  of  these  sources  to  the  cellular  structures  of  the  skin  causes  a  local  inflammatory  state,  and  the  extent  of  exposure  to  the  offending  source  and  the  amount  of  tissue  damage  can  also  result  in  systemic  pathophysiologic  processes.  There  are  two  important  factors  common  to  all  of  these  conditions.  First,  any  damage  to  the  skin  disrupts  the  body’s  natural  barrier  from  the  external  environment  and  its  microbes;  therefore,  infection  is  of  utmost  concern  in  treating  any  burn  wound.  Second,  there  are  individual  patient  factors  that  affect  the  ability  to  heal,  including  nutrition,  oxygenation,  fluid  resuscitation,  age,  co-morbidities,  and  stress.1  Each  one  of  these  factors  has  to  be  evaluated  and  treated  in  the  overall  management  of  patients  with  burn  injuries.  This  chapter  reviews  the  tissue  and  systemic  changes  that  occur  with  each  type  of  burn,  the  classification  systems  used  to  describe  tissue  damage,  and  the  medical  and  wound  management  for  each  type  of  dermal  destruction  in  order  to  preserve  both  function  and  esthetics  for  the  patient.