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2025/2026 BURNS MANAGEMENTNOTES

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This document provides comprehensive notes on the systematic management of burn injuries, from initial emergency care to ongoing treatment. It covers essential protocols for burn classification, fluid resuscitation, and wound care for thermal, electrical, and chemical burns. This guide is a vital resource for medical students and emergency healthcare practitioners.

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BURNS MANAGEMENT

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, TABLE OF CONTENTS: BURNS MANAGEMENT

1. Introduction: Criteria for Hospitalization
2. Emergency Management by Burn Type
2.1. Thermal Burns
2.2. Chemical Burns
2.3. Electrical Burns
2.4. Sunburns
3. Phases of Burn Care at the Scene
3.1. Emergency Procedure (Stop, Drop, and Roll)
3.2. Cooling the Burn
3.3. Removing Restrictive Objects
3.4. Covering the Wound
3.5. Irrigating Chemical Burns
4. Emergency Medical Management
4.1. Initial Assessment (CAB)
4.2. Airway and Breathing Management
4.3. Patient History and Evaluation
4.4. IV Access and Fluid Resuscitation
4.5. Adjunct Procedures (NG Tube, Catheter, Tetanus)
4.6. Transfer to a Burn Center

,5. Fluid Resuscitation and Shock Management
5.1. Types of Fluids (Crystalloids, Colloids, Blood)
5.2. Parkland/Baxter Formula
5.3. Monitoring for Fluid Overload
6. Wound Care
6.1. Goals of Wound Care
6.2. Pain Management
6.3. Wound Cleansing and Debridement (Natural, Mechanical, Surgical)
6.4. Burn Wound Dressings (Selection, Open vs. Closed Method)
7. Management by Burn Depth
7.1. Superficial Burns
7.2. Partial Thickness Burns
7.3. Full Thickness Burns
7.4. Vacuum Dressing (Negative Pressure Wound Therapy)
8. Surgical Management
8.1. Escharotomy
8.2. Fasciotomy
8.3. Skin Grafting (Autograft, Allograft, Xenograft)
9. Nutritional Management
9.1. Hypermetabolism and Nutritional Goals
9.2. Enteral and Parenteral Nutrition

, 10. Outpatient Burn Treatment
10.1. Eligibility Criteria
10.2. History Taking and Investigations
10.3. Follow-Up Care and Dressing Instructions
10.4. Infection Prevention at Home
10.5. Pain Management and Patient/Family Education
11. Rehabilitation and Physiotherapy
11.1. Components of a Physiotherapy Program
11.2. Scar and Contracture Management

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October 11, 2025
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