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Burns - Coggle Diagram
Burns
Biological risk factors affecting healing 'Black Hat'
Medical History
First aid provided
Amount of oedema present
Dressing Regime
Inhalation Injuries -- mortaility increases 6.5x
Initial Acute Management
Cool running water 20 mins
Remove clothing and jewellery
No ICE
No running water? Wrap in wet towels!
Physiotherapy Acute Management 'Blue Hat'
Inhalation Injuries (sit patient up!)
Lower Respiratory Injury
Lung Fibrosis
Focus on building cardiovascular endurance
Upper limb and resp strength
Chronic Lung Conditions (? Bullae)
Initial Input (0-48 hrs)
Oedema is the enemy!
Positioning
Muscle pump
Functional movement
Surgical/Medical Interventions 'Yellow Hat'
Escharotomy
Move limb when bleeding ceased
Focus on breathing mechanics
Suprasoft (Spray)
Move and Ambulate 24-48hrs
Provide pressure support
SSG (+CEA)
Split skin
Meshed
Provide pressure support and move
Physiotherapy Management
Observe movement patterns closely!
Start strength training early! Day 3.
Can use neuroplasticity related techniques to assist!
Type of Burns
Superficial (heal <10/7)
Red
Swollen
Blisters present
Surgical Wounds (heal 14/7)
Psychosocial Factors 'Red Hat'
Paeds
Sleep deprivation (parents and child)
Stress
Self-esteem, body image