Sinopsis
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.
Content
- A brief history of acute burn care management
- Teamwork for total burn care: burn centers and multidisciplinary burn teams
- Epidemiological, demographic, and outcome characteristics of burn injury
- Prevention of burn injuries
- Burn management in disasters and humanitarian crises
- Care of outpatient burns
- Pre-hospital management, transportation and emergency care
- Pathophysiology of burn shock and burn edema
- Fluid resuscitation and early management
- Evaluation of the burn wound: management decisions
- Enzymatic debridement of burn wounds
- Treatment of infection in burns
- Operative wound management
- Anesthesia for burned patients
- The skin bank
- Alternative wound coverings
- The role of alternative wound substitutes in major burn wounds and burn scar resurfacing
- The pathophysiology of inhalation injury
- Diagnosis and treatment of inhalation injury
- Respiratory care
- The systemic inflammatory response syndrome
- The immunological response and strategies for intervention
- Hematologic and hematopoietic response to burn injury
- Significance of the adrenal and sympathetic response to burn injury
- The hepatic response to thermal injury
- Effects of burn Injury on bone and mineral metabolism
- Vitamin and trace element homeostasis following severe burn injury
- Hypophosphatemia
- Nutritional support of the burned patient
- Modulation of the hypermetabolic response after burn injury
- Etiology and prevention of multisystem organ failure
- Renal failure in association with thermal injuries
- Critical care in the severely burned: organ support and management of complications
- Burn nursing
- Special considerations of age: the pediatric burned patient
- Care of geriatric patients
- Surgical management of complications of burn injury
- Electrical injuries'
- Electrical injury: reconstructive problems
- Cold-induced injury: frostbite
- Chemical burns
- Radiation injuries and vesicant burns
- Exfoliative diseases of the integument and soft tissue necrotizing infections
- The burn problem: a pathologist’s perspective
- Molecular and cellular basis of hypertrophic scarring
- Pathophysiology of the burn scar
- Comprehensive rehabilitation of the burn patient
- Musculoskeletal changes secondary to thermal burns
- Mitigation of burn-induced hypermetabolic and catabolic response during convalescence
- Reconstruction of burn deformities: an overview
- The use of skin grafts, skin flaps and tissue expansion in burn deformity reconstruction
- Microvascular technique of composite tissue transfer
- Reconstruction of the head and neck
- Correction of burn alopecia
- Reconstruction of the burned breast
- Management of contractural deformities involving the shoulder (axilla), elbow, hip and knee joints in burned patients
- Care of a burned hand and reconstruction of the deformities
- Management of burn injuries of the perineum
- Reconstruction of burn deformities of the lower extremity
- The ethical dimension of burn care
- Intentional burn injuries
- Functional sequelae and disability assessment
- Cost-containment and outcome measures
- Management of pain and other discomforts in burned patients
- Psychiatric disorders associated with burn injury
- Psychosocial recovery and reintegration of patients with burn injuries
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