Major burns in adults: a practice review.

Autor:	Gwyn-Jones A; Emergency Department, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK., Afolabi T; Emergency Department, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK., Bonney S; Transfusion Department, Whiston Hospital, Prescot, UK., Gurusinghe D; Emergency Department, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK., Tridente A; Emergency Department, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK., Mahambrey T; Intensive Care, Stockport NHS Foundation Trust, Stockport, UK., Nee P; Emergency Department, St Helens and Knowsley Hospitals NHS Trust, Prescot, UK patrick.nee@sthk.nhs.uk.; Liverpool John Moores University, Liverpool, UK.
Jazyk:	angličtina
Zdroj:	Emergency medicine journal : EMJ [Emerg Med J] 2024 Sep 25; Vol. 41 (10), pp. 630-634. Date of Electronic Publication: 2024 Sep 25.
DOI:	10.1136/emermed-2024-214046
Abstrakt:	There are approximately 180 000 deaths per year from thermal burn injury worldwide. Most burn injuries can be treated in local hospitals but 6.5% require specialist burn care. The initial ED assessment, resuscitation and critical care of the severely burned patient present significant challenges and require a multidisciplinary approach. The management of these patients in the resuscitation room impacts on the effectiveness of continuing care in the intensive care unit. The scope of the present practice review is the immediate management of the adult patient with severe burns, including inhalation injury and burn shock. The article uses an illustrative case to highlight recent developments including advanced airway management and the contemporary approach to assessment of fluid requirements and the type and volume of fluid resuscitation. There is discussion on new options for pain relief in the ED and the principles governing the early stages of burn intensive care. It does not discuss minor injuries, mass casualty events, chemical or radiation injuries, exfoliative or necrotising conditions or frost bite. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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