Burns Emergency medicine Medicine Physiotherapy Surgery

Brief Note on Burn Rehabilitation

In this article we will discuss Brief Note on Burn Rehabilitation

In this article, we will discuss Brief Note on Burn Rehabilitation. So, let’s get started.

Burn Rehabilitation

Hand Burns – Principles of Assessment

• Subjective examination
• Objective examination
– Observation/palpation
• Oedema assessment-Tapes/rings/calipers and volumetric measurements
• Scar assessment-photography, vancouer scale (pigmentation, vascularity, pliability & height)
• Circulation
• Nails/skin
• Goniometry/MMT
• Grip strength/hand held dynamometry
• Sensation testing/pain/neurological tests

Electrical Burns

• Current kills, voltage simply determines whether current can enter the body Ohm’s law: I=V/R
• Electrical current follows shortest path to ground and high voltage easily overcomes resistance
• Severity depends on:
– What tissue current passes through
– Width or extent of the current pathway
– AC or DC
– Duration of current contact
• Pathophysiology of injuries may include:
– External burn
– Internal burn
– Musculoskeletal injury
– Cardiovascular injury
– Respiratory injury
– Neurologic injury
– Rhabdomyolysis and Renal injury

Electrical Burn Management

• Any patient with an electrical injury regardless of how trivial it looks needs to go to the hospital. There is no way to tell how bad the burn is on the inside by the way it looks on the outside.
• Ventilation/CPR/oxygen, if necessary.
• Shift the patient to trauma centre.
• Monitoring

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