MANAGEMENT OF BURNS
Medical management
·
Done
in three phases:
1. Emergent phase (Resuscitative)
2. Acute phase (Wound healing)
3. Rehabilitative phase (Restorative)
Overview of Phases, Duration and the management Priorities
PHASE
|
DURATION
|
PRIORITIES
|
Emergent or immediate resuscitative
|
From onset of injury to completion of fluid resuscitation
|
• First aid
• Prevention of shock
• Prevention of respiratory distress
• Detection and treatment of concomitant injuries
• Wound assessment and initial care
|
Acute
|
From beginning of diuresis to near completion of wound closure
|
• Wound care and closure
• Prevention or treatment of complications, including infection
• Nutritional support
|
Rehabilitation
|
From major wound closure to return to individual’s optimal level of physical and psychosocial adjustment
|
• Prevention of scars and contractures
• Physical, occupational, and vocational rehabilitation
• Functional and cosmetic reconstruction
• Psychosocial counseling
|
COMMENTS