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  • Book
    Jong O. Lee, editor.
    Summary: Despite a decreasing number of burns and improvement in mortality of burn patients in the United States, burn injuries are still frequent. Non-burn specialists such as emergency medicine physicians and primary care physicians will inevitably treat burn patients. In many instances, the first clinicians to see burn patients are non-burn specialists in the urgent care, emergency department, or primary care clinic, yet they typically do not have any formal training or exposure to burns in residency. As a result, many clinicians feel uneasy about managing burns even if the burn is minor. If a burn center is in a reasonable proximity, one can transfer the patient, but prior to transfer, or if no burn center is available, these clinicians may have to perform the initial management. It is important that they understand the basic principles of burn care. In times of burn disasters, non-burn specialists are needed to care for burn patients as burn centers can be quickly overwhelmed. They should be able to manage burn patients including stabilization, resuscitation and wound care. The text includes all current management available today for the care of burn patients. It is organized in a stepwise manner with clear information listed in sequential chapter formats. Chapter one offers the basic epidemiology of burn care while chapters three and four discuss the initial assessment and management. The chapter five discusses inhalation injury while the next three chapters focus on burn wound management including face and hand. The majority of chapters that follow center on a specific type of burn or burn patient. The last few chapters discuss aftercare including scar management and burn rehabilitation. Written by experts in the field, Essential Burn Care for Non-Burn Specialists is a valuable guide for any physician involved in burn treatment such as emergency physicians, primary care physicians, and general and plastic surgeons.

    Contents:
    Intro
    Contents
    Chapter 1: Epidemiology
    Burden of Disease
    Incidence
    Injuries Managed at Hospitals and Burn Centers
    Mortality
    Global and Local Inequities
    Risk Factors for Fires and Burn Injuries
    Age
    Children
    Elderly
    Gender
    Cooking and Cookstoves
    Occupation
    Climate and Seasonality
    Comorbidities
    Interpersonal and Collective Violence
    Data for Burn Injury Prevention and Control
    Conclusion
    References
    Chapter 2: Pathophysiology and Hypermetabolic Response to Burn
    Introduction
    What Is Hypermetabolism?
    Magnitude and Duration Biomarkers and Mediators
    Metabolic Consequences: Glucose, Lipids, Amino Acids
    Glucose Metabolism
    Lipid Metabolism
    Protein Metabolism
    Targeting Organ Systems: Cardiac, Renal, Gastrointestinal, and Immune Systems
    Cardiac
    Renal
    Gastrointestinal
    Immune System
    Adipose Tissue
    Central Nervous System
    Management of Hypermetabolism: Conservative Measures
    Nutrition-Calculating Energy Consumption and Nutrient Supplementation
    Environment, Early Excision, and Exercise
    Management of Hypermetabolism: Pharmacological Intervention
    Propranolol Recombinant Human Growth Hormone
    Insulin-Like Growth Factor 1/Insulin-Like Growth Factor Binding Protein-3
    Insulin
    Metformin
    Oxandrolone
    Testosterone
    Conclusion
    References
    Chapter 3: Initial Assessment of Burn Patient
    Introduction
    First Aid and Prehospital Considerations
    Initial Assessment
    Primary Survey
    Burn-Specific Secondary Survey
    Obtaining a Burn-Specific History
    Burn Patient Assessment
    Neurologic
    Ophthalmologic
    Otolaryngologic
    Chest and Abdomen
    Genitourinary
    Extremity
    Evaluation of the Burn Wound Triage, Referral, and Transfer Determination
    Tertiary Survey
    Prehospital and Initial Assessment Considerations for Special Situations
    Chemical Injury
    Cold Injury
    Electrical Injury
    Non-accidental Injury
    References
    Chapter 4: Initial Management and Resuscitation
    Introduction
    Big Problem or Little Problem?
    Airway: Who Needs to be Intubated, and How?
    Fluid Resuscitation: Why and How?
    Monitoring
    Complicated Resuscitation
    Management of the Burned Extremity
    Wound Care and Pain Management
    Supportive Care
    Role of the Rehabilitation Team
    Teamwork Final Thoughts
    References
    Chapter 5: Inhalation Injury
    Introduction
    Pathophysiology
    Assessment and Grading
    Management
    Airway Management
    Carbon Monoxide and Hydrogen Cyanide
    Mechanical Ventilation
    Medical Therapy
    Complications
    Conclusion
    References
    Chapter 6: Burn Wound Management
    Introduction
    Skin Anatomy
    Care Algorithm
    Minor Burns Treatment
    Hospital Admission for Minor Burns
    Major Burns Treatment
    Escharotomy and Wound Care
    Burn Surgery
    Burn Excision
    Skin Grafting
    Autograft Skin
    Skin Substitutes
    Allograft Skin
    Digital Access Springer [2023]