TY - JOUR
T1 - Administering effective emergency care for severe thermal injuries
T2 - Initial strategies for respiratory support, fluid resuscitation, wound care
AU - Cancio, L. C.
AU - Mozingo, D. W.
AU - Pruitt, Jr
PY - 1997/12/1
Y1 - 1997/12/1
N2 - Patients with severe burns require immediate airway assessment and supplemental oxygen; when inhalation injury is suspected, urgent endotracheal intubation may be needed. Also, during the first 24 hours after thermal trauma, intravascular fluid is rapidly lost into the interstitium; without resuscitation, acute renal failure or even death may ensue from hypovolemic shock. The fluid infusion rate must be carefully calculated from an accurate estimate of the total body surface area burned and titrated according to the physiologic response. Administering excessive amounts of fluid aggravates interstitial edema Escharotomy should be performed when constricting eschar results in the diminution of a peripheral pulse. Finally, the possibility of nonthermal injury must not be neglected.
AB - Patients with severe burns require immediate airway assessment and supplemental oxygen; when inhalation injury is suspected, urgent endotracheal intubation may be needed. Also, during the first 24 hours after thermal trauma, intravascular fluid is rapidly lost into the interstitium; without resuscitation, acute renal failure or even death may ensue from hypovolemic shock. The fluid infusion rate must be carefully calculated from an accurate estimate of the total body surface area burned and titrated according to the physiologic response. Administering excessive amounts of fluid aggravates interstitial edema Escharotomy should be performed when constricting eschar results in the diminution of a peripheral pulse. Finally, the possibility of nonthermal injury must not be neglected.
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M3 - Review article
AN - SCOPUS:0031544320
VL - 12
SP - 85
EP - 95
JO - Journal of Critical Illness
JF - Journal of Critical Illness
SN - 1040-0257
IS - 2
ER -