[Primary treatment of burn patients].
Burn injuries can be caused by thermal, electrical, chemical, or mechanical trauma or radiation and are relatively rare, as they represent only about 1% of all emergencies. They are caused by accidents at home, during recreational activities, or in the occupational environment. Minor burn traumas are much more common than severe burn injuries with their systemic and potentially life-threatening effects. Altogether, these circumstances may result in a lack of routine for treating such injuries properly by physicians and their colleagues in the emergency room or intensive care unit. A clearly outlined concept for preclinical and clinical treatment can be the keystone of successful further clinical progress. The following article summarizes the current guidelines for first medical aid at the injury scene, burn stabilization and assessment in the emergency room, and the interdisciplinary approach for further clinical care. The treatment of dermatologic emergencies (acute epidermolytic syndromes) or caustic injuries by chemical agents is similar to the treatment of burn victims in many aspects but must be adapted in selected cases.
Giessler
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Klinik für Hand-, Plastische- und Rekonstruktive Chirurgie-Schwerbrandverletztenzentrum-, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Plastische und Handchirurgie der Universität Heidelberg, Ludwigshafen. giessler@bgu-ludwigshafen.de
Deb
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R
Germann
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G
Sauerbier
M
M
D002056:Burns / Q000145:classification / Q000209:etiology / Q000628:therapy*; D003422:Critical Care; D003646:Debridement / Q000379:methods; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D005392:First Aid; D006801:Humans; D010348:Patient Care Team; D017410:Practice Guidelines as Topic