in managing a wound what are good general principles
hand hygiene, control the bleed, keep the wound as clean as possible, replace avulsed tissue, apply a dressing, consider analgesia, sonsider tetnus advice, cuts caused by glass need xraying
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when wold we have to refer
require further cleaning and closure, a wound i nthe facial triangle, wound over a joint, antibiotics are required, co-existing medical cond. forign bodies, sign of infection
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type of burns
thermal and scalds, airway, chemical, electrical and radiation
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what are the 3 types of burn
superficial, partial thickness, full thickness
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superficial damages
the epidermis
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partical thickness
damages the epidermis and dermis + blistering
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full thickness
damage to epidermis and dermis and fatty layer + charring
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how to assess burn coverage
a palm of the pt = 1%
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circumferental burns
burns expand, so they cut the skin allowing the expansio of the chest
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what to look for in airway burns
soot around the mouth
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Time critical features
major ABCD problems, airway burns, hot gas and air inhalation, resp distress, circumfrnetial butns, significant facial burns, buns over 15%`
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Burns management
airways patency, oxygen, cool / irrigate, cut off burnt clothing, remove jewellery, dress the burn, sheet the cling film, wet non-adherant dressing, fluid resuscitation, analgesia
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