Senin, 08 Februari 2010

BURN INJURY

Causes of burns are:
 Thermal (temperature> 60 C)
 Chemistry
 Electricity
 Radiation

Body Surface Size
1. Minor burns:
Not the face, hands, feet, joints, genitals, or respiratory tract.
2. Burns are:
Not the face, hands, feet, joints, genitals, or respiratory tract.
3. Severe burns:
• burns with airway injury.
• three burns on the face, hands, feet, joints, genitals, or respiratory tract.

Some things to get attention
1. Burns caused by:
 Electricity: burns damage look small but in large enough body tissue.
 Chemistry: each - each material has a characteristic - their own characteristics.
2. Areas affected:
 Face
 hands and feet
 genitals, buttocks and inner thighs
 Joint
Because penyulit can occur in the healing process in the future.
3. Factors penyulit
Age less than 5 years or more than 55 years, is considered heavy.
Accompanying disease
Handling of General Burn Injuries

Value scene security and safety helper
1. Stop the burn process
2. Remove clothing and jewelry
3. Conduct early assessment
4. Determine the degree burns and extensive burns
5. Cover burns
6. Keep the patient's body temperature
7. Refer to health facility

Handling some special burns:
Chemical burns:
Value scene security and safety helpers:
 Immediately flush / aliri burns with as much water - much, at least 20 minutes. Do not waste time searching for antidotnya.
 Do not flush chemicals that react more strongly with the water such as caustic soda powder.
 If the eyes, flush with flowing water, and remove contact lenses.
 Minimize the contamination of water continued to flow in such a way that is not about healthy regions.
If the patient is contaminated, try cleaning the patient from a distance, not to the helper also affected by chemicals.
1. Solid chemicals / powder, smoke with soft brush and then flush with water as much - much.
2. Flush with water or aliri at - least for 20 minutes.
3. Secure the former patients contaminated clothing.
4. Place the cover on the sterile wound injuries.
5. Overcome shocked if any.
6. Refer to the health facility.

Electrical burns
Symptoms and signs of electric shock:
 Change of mental status and decreased response
 There was severe burns
 shallow breathing, irregular or no
 pulse weak, irregular or no
 compound fracture because of muscle contraction.

Handling of electrical burns
Value scene security and safety helper
1. Conduct early assessment
2. Check and find burn in areas where electrical power into and out
3. Close the front cover of the wound with a dry sterile
4. Overcome the shock, when there
5. Refer to the health facility.

Note:
Helpers must be ready melaukan CPR on patients who were electrocuted. Patients should be monitored closely, because it stopped breathing and cardiac arrest are often repeated.
Inhalation burns (exploited / smell by nose)
Symptoms and signs that may be found:
1. Burnt nose hairs
2. Burns on the face
3. Grains of charcoal carbon in liquid saliva
4. The smell of smoke or soot on the respiratory
5. Difficulty breathing
6. Breath sounds
7. Hoarse, coughing, difficulty speaking
8. Limited chest movement
9. Bluish skin

Handling:
Value scene security and safety helper
1. Move patient to safety
2. Berika oxygen, if necessary oxygen dilembabkan
3. Especially early assessment and respiratory airway
4. If necessary, apply artificial respiration
5. Refer to health facility


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