Medical Surgical Nursing

(Tina Sui) #1

Chapter 57


Management of Patients with Burn Injury


Burn Prevention



  • Keep matches and lighters out of the reach of children.

  • Emphasize the importance of never leaving children unattended around fire.

  • Develop and practice a home exit fire drill.

  • Set the water heater temperature no higher than 70°C.

  • Don‘t smoke in bed, and caution against falling asleep while smoking.

  • Caution against throwing flammable liquids onto an already burning fire.

  • Caution against using flammable liquids to start fires.

  • Caution against removing the radiator cap from a hot engine.

  • Watch for overhead electrical wires and underground wires when working outside.

  • Keep hot irons out of reach of children.

  • Caution against running electric cords under carpets or rugs.

  • Avoid storing flammable liquids near a fire source.

  • Caution when cooking.

  • Keep a working fire extinguisher in the home, and to know how to use it.


BURNS



  • Results in ??? deaths annually

  • Survival best at ages 15- 45

  • Children, elderly, and diabetics are at higher risk

  • Survival best when burns cover less than 20% of TBA


Types of burns



  1. Thermal


Exposure to flame or a hot object (i.e. hot water)

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