ROUND 1
Definition of Burn
•Burn is tissue damage caused by a variety of agents, such as heat, chemicals, electricity, sunlight, friction, or radiation. Most common are burns caused by scalds, building fires, and flammable liquids and gases.
What is the largest organ in our body?
skin
•Goals of burn rehabilitation
•Overall goal:
-return to pre-injury level of function with best possible cosmoses
•Short term goals:
-Assist wound healing -Prevent complications(musculoskeletal
types of splinting?
static , dynamic
function of skin?
Protects underlying tissues from injury
Temperature regulation
Acts as water tight seal, keeping body fluids in
Sensory organ
Cosmetic function (Determines characteristics)
Formation of vitamin D.
Protection against UV radiation
What is inhalation injury?
Inhalation injuries are acute injuries to your respiratory system and lungs. They can happen if you breathe in toxic substances, such as smoke (from fires), chemicals, particle pollution, and gases. Inhalation injuries can also be caused by extreme heat; these are a type of thermal injuries.
indication of positioning?
•Loss of consciousness & ventilator dependent patients.
•Patient who is unable or unwilling to cooperate to exercises program.
•Patients who have difficulty in understanding exercises procedures ( as Children).
•Immediate post-grafting and reconstructive procedures.
•Complications that may impose limitation or contractures ( as wound infection).
what is splinting?
Tools to support burned are, maintain joint position and correct or prevent deformity.
. Psychological changes to burn patient
1-Fear & anxiety
2-Depression
3-Grief &mourning
4-Loss of will to live
5-Anger
goals of positioning?
•To minimize & control post burn edema
•To maintain soft tissue in an elongated functional position.
•To prevent contractures.
•To maintain functional ROM .
•To facilitate good functional wound healing.
•To prevent localized post burn neuropathy.
REQUIREMENTS FOR ALL SPLINTS:
1. Proper fit
2. Secure application
4. Avoidance of pressure over a bony prominence
5. Periodic removal
6. Daily checking and re-evaluation
7. Cleansing with each re-application
Physiotherapy items in the after care of a burn patient:
1.Exercising, training and ambulation
2. Mobilisations and oedema control
3. Positioning and splinting
4. Scar management
first aid for burn patient?
1-stripe hot clothes and jewelry if possible
2-turn on cold tap
3-organise medical assistance
4-protect burn with cling film or clean cloth
symptoms of inhalation injury?
•Coughing and phlegm
•A scratchy throat
•Irritated sinuses
•Shortness of breath
•Chest pain or tightness
•Headaches
•Stinging eye
•A runny nose
•Complications of deep or widespread burns can include:
•(sepsis)
•(hypovolemia)
•(hypothermia)
•Breathing problems from the intake of hot air or smoke
• (keloids)
• (contractures)
-Psychological changes