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

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

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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