- Burn patients become hyperthermic for much of the postburn period, even in the
absence of infection
GI responses
- Paralytic ileus (absence of intestinal peristalsis):
- decreased peristalsis and bowel sounds are manifestations of paralytic ileus resulting
from burn trauma and
- Gastric distention and nausea may lead to vomiting unless gastric decompression is
initiated
- Curling ́s ulcer (gastric or deuodenal erosion)
- Gastric bleeding secondary to massive physiologic stress may be signaled by occult
blood in the stool, regurgitation of coffee ground material from the stomach or bloody
vomitus
Phases of Burn Injuries
- Emergent Phase: From onset of injury to completion of fluid resuscitation
- Acute Phase: From beginning of diuresis to near completion of wound closure
- Rehabilitative Phase: From major wound closure to return to individual's optimal
level of physical and psychosocial adjustment
Emergent Phase
- Immediate problem is fluid loss, edema, reduced blood flow (fluid and electrolyte
shifts)
- Goals:
- First aid (A, B, C)
- Intubation if needed
- Prevention of shock
- Prevention of respiratory distress
- Detection and treatment of concomitant injuries
- Wound assessment and initial care
Emergent phase/ at fire sceine
- Extinguish the flames , switch off power source, remove chemical soaked clothes,
etc...