Skip to main content
SpringerLink
Log in

Pre-hospital, fluid and early management, burn wound evaluation

  • Chapter
Handbook of Burns

Abstract

In the last 20 years large changes in burn care and in the background and logistics around the care for the burn injured has occurred which has implications for how burn care now should be administered and practically performed. Firstly the incidence of burn injuries has decreased in the Western world and a decrease of about 30 % is evident from e. g., since the eighties [1–2]. In parallel, length of stay in the burn care facilities for the injured has been reduced to about 40 % of what it was at that time [3–4]. Thirdly, the outcome of burns has been significantly improved over the same time period. This may be exemplified by the 50 % survival chance that was present for a 45 % total burn surface area burn (TBSA %) in a 21 year old in the late 70-ties, which is to be compared to the corresponding 50 % survival chance for 80–90 % TBSA % burn in the same age patient today [5–6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Akerlund E, Huss FR, Sjoberg F (2007) Burns in Sweden: an analysis of 24,538 cases during the period 1987-2004. Burns 33(1): 31–36

    Article  PubMed  Google Scholar 

  2. Brigham PA, McLoughlin E (1996) Burn incidence and medical care use in the United States: estimates, trends, and data sources. J Burn Care Rehabil 17(2): 95–107

    Article  PubMed  CAS  Google Scholar 

  3. Andel D, Kamolz LP, Niedermayr M, Hoerauf K, Schramm W, Andel H (2007) Which of the abbreviated burn severity index variables are having impact on the hospital length of stay? J Burn Care Res 28(1): 163–166

    Article  PubMed  Google Scholar 

  4. Still JM, Jr, Law EJ, Belcher K, Thiruvaiyarv D (1996) Decreasing length of hospital stay by early excision and grafting of burns. South Med J 89(6): 578–582

    Article  PubMed  Google Scholar 

  5. Gomez M, Cartotto R, Knighton J, Smith K, Fish JS (2008) Improved survival following thermal injury in adult patients treated at a regional burn center. J Burn Care Res 29(1): 130–137

    PubMed  Google Scholar 

  6. Miller SF, Bessey PQ, Schurr MJ, Browning SM, Jeng JC, Caruso DM et al (2006) National burn repository 2005: a ten-year review. J Burn Care Res 27(4): 411–436

    Article  PubMed  Google Scholar 

  7. Mertens DM, Jenkins ME, Warden GD (1997) Outpatient burn management. Nurs Clin North Am 32(2): 343–364

    PubMed  CAS  Google Scholar 

  8. Moss LS (2004) Outpatient management of the burn patient. Crit Care Nurs Clin North Am 16(1): 109–117

    Article  PubMed  Google Scholar 

  9. Tompkins D, Rossi LA (2004) Care of out patient burns. Burns 30(8):A7–9

    Article  PubMed  Google Scholar 

  10. Bessey PQ, Arons RR, Dimaggio CJ, Yurt RW (2006) The vulnerabilities of age: burns in children and older adults. Surgery 140(4): 705–15; discussion 15-17

    Article  PubMed  Google Scholar 

  11. Sheridan R (2007) Burns at the extremes of age. J Burn Care Res 28(4): 580–585

    Article  PubMed  Google Scholar 

  12. Thombs BD, Singh VA, Halonen J, Diallo A, Milner SM (2007) The effects of preexisting medical comorbidities on mortality and length of hospital stay in acute burn injury: evidence from a national sample of 31,338 adult patients. Ann Surg 245(4): 629–634

    Article  PubMed  Google Scholar 

  13. Praiss IL, Feller I, James MH (1980) The planning and organization of a regionalized burn care system. Med Care 18(2): 202–210

    Article  PubMed  CAS  Google Scholar 

  14. Yurt RW, Bessey PQ (2009) The development of a regional system for care of the burn-injured patients. Surg Infect (Larchmt) 10(5): 441–445

    Article  Google Scholar 

  15. Vercruysse GA, Ingram WL, Feliciano DV (2011) The demographics of modern burn care: should most burns be cared for by non-burn surgeons? Am J Surg 201(1): 91–96

    Article  PubMed  Google Scholar 

  16. Munzberg M, Mahlke L, Bouillon B, Paffrath T, Matthes G, Wolfl CG (2010) [Six years of Advanced Trauma Life Support (ATLS) in Germany: The 100th provider course in Hamburg.]. Unfallchirurg 113(7): 561–566

    Article  PubMed  CAS  Google Scholar 

  17. Soreide K. Three decades (1978-2008) of Advanced Trauma Life Support (ATLS) practice revised and evidence revisited. Scand J Trauma Resusc Emerg Med 16(1): 19

    Google Scholar 

  18. Sasaki J, Takuma K, Oda J, Saitoh D, Takeda T, Tanaka H et al (2010) Experiences in organizing Advanced Burn Life Support (ABLS) provider courses in Japan. Burns 36(1): 65–69

    Article  PubMed  Google Scholar 

  19. Cochran A, Edelman LS, Morris SE, Saffle JR (2008) Learner satisfaction with Web-based learning as an adjunct to clinical experience in burn surgery. J Burn Care Res 29(1): 222–226

    PubMed  Google Scholar 

  20. Lindford AJ, Lamyman MJ, Lim P (2006) Review of the emergency management of severe burns (EMSB) course. Burns 32(3): 391

    Article  PubMed  Google Scholar 

  21. Stone CA, Pape SA (1999) Evolution of the Emergency Management of Severe Burns (EMSB) course in the UK. Burns 25(3): 262–264

    Article  PubMed  CAS  Google Scholar 

  22. Haberal M (2006) Guidelines for dealing with disasters involving large numbers of extensive burns. Burns 32(8): 933–939

    Article  PubMed  Google Scholar 

  23. Cartotto R (2009) Fluid resuscitation of the thermally injured patient. Clin Plast Surg 36(4): 569–581

    Article  PubMed  Google Scholar 

  24. Tricklebank S (2009) Modern trends in fluid therapy for burns. Burns 35(6): 757–767

    Article  PubMed  Google Scholar 

  25. Lund T, Onarheim H, Reed RK (1992) Pathogenesis of edema formation in burn injuries. World J Surg 16(1): 2–9

    Article  PubMed  CAS  Google Scholar 

  26. Vlachou E, Gosling P, Moiemen NS (2006) Microalbuminuria: a marker of endothelial dysfunction in thermal injury. Burns 32(8): 1009–1016

    Article  PubMed  CAS  Google Scholar 

  27. Vlachou E, Gosling P, Moiemen NS (2008) Microalbuminuria: a marker of systemic endothelial dysfunction during burn excision. Burns 34(2): 241–246

    Article  PubMed  CAS  Google Scholar 

  28. Steinvall I, Bak Z, Sjoberg F (2008) Acute respiratory distress syndrome is as important as inhalation injury for the development of respiratory dysfunction in major burns. Burns 34(4): 441–451

    Article  PubMed  Google Scholar 

  29. Lawrence A, Faraklas I, Watkins H, Allen A, Cochran A, Morris S et al (2010) Colloid administration normalizes resuscitation ratio and ameliorates “fluid creep”. J Burn Care Res 31(1): 40–47

    Article  PubMed  Google Scholar 

  30. Saffle JI (2007) The phenomenon of “fluid creep” in acute burn resuscitation. J Burn Care Res 28(3): 382–95

    Article  PubMed  Google Scholar 

  31. Baxter CR, Shires T (1968) Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci 150(3): 874–894

    Article  PubMed  CAS  Google Scholar 

  32. Warden GD (1992) Burn shock resuscitation. World J Surg 16(1): 16–23

    Article  PubMed  CAS  Google Scholar 

  33. Oda J, Yamashita K, Inoue T, Harunari N, Ode Y, Mega K et al (2006) Resuscitation fluid volume and abdominal compartment syndrome in patients with major burns. Burns 32(2): 151–154

    Article  PubMed  Google Scholar 

  34. Holm C, Mayr M, Tegeler J, Horbrand F, Henckel von Donnersmarck G, Muhlbauer W et al (2004) A clinical randomized study on the effects of invasive monitoring on burn shock resuscitation. Burns 30(8): 798–807

    Article  PubMed  CAS  Google Scholar 

  35. Bak Z, Sjoberg F, Eriksson O, Steinvall I, Janerot-Sjoberg B (2009) Hemodynamic changes during resuscitation after burns using the Parkland formula. J Trauma 66(2): 329–336

    Article  PubMed  Google Scholar 

  36. Sjoberg F (2008) The ‘Parkland protocol’ for early fluid resuscitation of burns: too little, too much, or … even … too late …? Acta Anaesthesiol Scand 52(6): 725–726

    Article  PubMed  Google Scholar 

  37. manual. ABA ABLs. Chicago IL, 2005

    Google Scholar 

  38. Choiniere M, Melzack R, Rondeau J, Girard N, Paquin MJ (1989) The pain of burns: characteristics and correlates. J Trauma 29(11): 1531–1539

    Article  PubMed  CAS  Google Scholar 

  39. Raff T, Germann G, Hartmann B (1997) The value of early enteral nutrition in the prophylaxis of stress ulceration in the severely burned patient. Burns 23(4): 313–318

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. the Burn Center, Department of Hand and Plastic Surgery and Intensive Care, Linköping University Hospital, 58185, Linköping, Sweden

    Folke Sjöberg M. D., Ph. D. (Professor, Consultant, Director)

  2. Dept. of Clinical and Experimental Medicine, Linköping University, 58185, Linköping, Sweden

    Folke Sjöberg M. D., Ph. D. (Professor, Consultant, Director)

Authors
  1. Folke Sjöberg M. D., Ph. D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Folke Sjöberg M. D., Ph. D. .

Editor information

Editors and Affiliations

  1. Sunnybrook Health Sciences Centre, Department of Surgery, Division of Plastic Surgery, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada

    Marc G. Jeschke M.D., Ph.D.

  2. Plastische, Aesthetische und Rekonstruktive Chirurgie, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria

    Lars-Peter Kamolz M.D., M.Sc.

  3. Department of Hand and Plastic Surgery and Intensive Care, Linköping University Hospital, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  4. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg M.D., Ph.D.

  5. Brooke Army Medical Center, Fort Sam Houston, TX, USA

    Steven E. Wolf M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag/Wien

About this chapter

Cite this chapter

Sjöberg, F. (2012). Pre-hospital, fluid and early management, burn wound evaluation. In: Jeschke, M.G., Kamolz, LP., Sjöberg, F., Wolf, S.E. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0348-7_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0348-7_7

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0347-0

  • Online ISBN: 978-3-7091-0348-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation