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Download PDF Total Burn Care FOURTH EDITION by David N. Herndon


The last 25 years burn care has improved to the extent that persons with burns covering 90% of their total body surface area can frequently survive. In the five years since the publication of the third edition of this book basic and clinical sciences have continued to provide information further elucidating the complexities of burn injuries and opportunities for improvement in care. In this edition advances in the treatment of burn shock, inhalation injury, sepsis, hypermetabolism, the operative excision of burn wounds, scar reconstruction
and rehabilitation are completely reexamined. Burn care demands attention to every organ system as well as to the patient’s psychological and social status. The scope of burn treatment extends beyond the preservation of life and function; and the ultimate goal is the return of burn survivors as full participants back into their communities.


  1. A brief history of acute burn care management
  2. Teamwork for total burn care: burn centers and multidisciplinary burn teams
  3. Epidemiological, demographic, and outcome characteristics of burn injury
  4. Prevention of burn injuries
  5. Burn management in disasters and humanitarian crises
  6. Care of outpatient burns
  7. Pre-hospital management, transportation and emergency care
  8. Pathophysiology of burn shock and burn edema
  9. Fluid resuscitation and early management
  10. Evaluation of the burn wound: management decisions
  11. Enzymatic debridement of burn wounds
  12. Treatment of infection in burns
  13. Operative wound management
  14. Anesthesia for burned patients
  15. The skin bank
  16. Alternative wound coverings
  17. The role of alternative wound substitutes in major burn wounds and burn scar resurfacing
  18. The pathophysiology of inhalation injury
  19. Diagnosis and treatment of inhalation injury
  20. Respiratory care
  21. The systemic inflammatory response syndrome
  22. The immunological response and strategies for intervention
  23. Hematologic and hematopoietic response to burn injury
  24. Significance of the adrenal and sympathetic response to burn injury
  25. The hepatic response to thermal injury
  26. Effects of burn Injury on bone and mineral metabolism
  27. Vitamin and trace element homeostasis following severe burn injury
  28. Hypophosphatemia
  29. Nutritional support of the burned patient
  30. Modulation of the hypermetabolic response after burn injury
  31. Etiology and prevention of multisystem organ failure
  32. Renal failure in association with thermal injuries
  33. Critical care in the severely burned: organ support and management of complications
  34. Burn nursing
  35. Special considerations of age: the pediatric burned patient
  36. Care of geriatric patients
  37. Surgical management of complications of burn injury
  38. Electrical injuries'
  39. Electrical injury: reconstructive problems
  40. Cold-induced injury: frostbite
  41. Chemical burns
  42. Radiation injuries and vesicant burns
  43. Exfoliative diseases of the integument and soft tissue necrotizing infections
  44. The burn problem: a pathologist’s perspective
  45. Molecular and cellular basis of hypertrophic scarring
  46. Pathophysiology of the burn scar
  47. Comprehensive rehabilitation of the burn patient
  48. Musculoskeletal changes secondary to thermal burns
  49. Mitigation of burn-induced hypermetabolic and catabolic response during convalescence
  50. Reconstruction of burn deformities: an overview
  51. The use of skin grafts, skin flaps and tissue expansion in burn deformity reconstruction
  52. Microvascular technique of composite tissue transfer
  53. Reconstruction of the head and neck
  54. Correction of burn alopecia
  55. Reconstruction of the burned breast
  56. Management of contractural deformities involving the shoulder (axilla), elbow, hip and knee joints in burned patients
  57. Care of a burned hand and reconstruction of the deformities
  58. Management of burn injuries of the perineum
  59. Reconstruction of burn deformities of the lower extremity
  60. The ethical dimension of burn care
  61. Intentional burn injuries
  62. Functional sequelae and disability assessment
  63. Cost-containment and outcome measures
  64. Management of pain and other discomforts in burned patients
  65. Psychiatric disorders associated with burn injury
  66. Psychosocial recovery and reintegration of patients with burn injuries

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