BURNS 10

MANAGEMENT 2

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Major  burns  of 15% or 10% in children need to  be  admitted  to

hospital  for  their  proper  care  and  treatment  and  may   be

considered under the following heads:

 

       1.  Check clear airway

       2.  Treatment of neuro-genic and olig-aemic shock

       3.  Tetanus Prophylaxis

       4.  Prevention and treatment of infection

       5.  Skin cover for the full thickness loss at the earliest

           opportunity

 

 PAIN

Adequate  sedation  in  the  form of  pethidine  for  adults  and

children is employed.

 FLUID

Wallace's  Rule  of nine" is used to estimate the  percentage  of

area burnt and fluid requirement is calculated.

 

                            

Detect  the  depth of burns - this is represented  by  the  three

degrees  depth  of skin burnt,  clinical  appearances,the  layers

affected.

   *  As a general rule 0.5 ml. of colloid and 1.5 ml. of

      electrolyte are prescribed for every 1% of burn per

      kilogram of weight per 24 hours.

 

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