Verbrennungen--Von der Bagatelle zur Katastrophe [Burns--from trifle case to mass casualty]

Détails

ID Serval
serval:BIB_7FBB6AEC2D71
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Verbrennungen--Von der Bagatelle zur Katastrophe [Burns--from trifle case to mass casualty]
Périodique
Therapeutische Umschau
Auteur(s)
Raffoul W., Berger M.M.
ISSN
0040-5930
Statut éditorial
Publié
Date de publication
2007
Volume
64
Numéro
9
Pages
505-15
Langue
allemand
Notes
Publication types: English Abstract ; Journal Article ; Review
Résumé
Burn injuries are very frequent, most being trifle cases. Nevertheless every year about 200 patients need to be treated in one of the two specialised Swiss burns centres. Admission criteria are burns > 15% body surface or burns to critical areas (face neck, hands, genitalia, joints) and electrical injuries. The paper reviews the physiophathology of the burn wound which differs depending on the thermal or electrical aetiology. The airway may be threatened due to true inhalation, but also to burns to the face or neck. In major burns >20% body surface in adults, or > 10% in children, fluid resuscitation will be required; oral hydration is generally sufficient by smaller burns. Surgical treatment of 2nd and 3rd degree burns starts within the first 24 days after injury. While complex treatment is generally available in peace time, a major accident such as a disco-fire that can generate hundreds casualties in a few minutes, can threaten our system and force the adoption of triage rules, and simplified treatments. Attitudes to adopt in such conditions are discussed.
Mots-clé
Burns, Humans, Mass Casualty Incidents, Physician's Practice Patterns, Practice Guidelines as Topic, Severity of Illness Index, Switzerland, Triage, Wound Healing
Pubmed
Création de la notice
21/01/2008 17:30
Dernière modification de la notice
20/08/2019 14:40
Données d'usage