BMJ Best Practice Podcast Burns
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May 21, 2024 A podcast episode discussing the management of burns, highlighting the prevalence and complications of burns injuries. Topics include diagnosing and managing burns, tetanus assessment, pain management, tissue removal techniques, and debunking common myths about burn treatment.
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Definition And Severity Of Burns
- A burn occurs when heat exceeds the skin's ability to dissipate it and injures tissue to varying degrees.
- Severity depends on both depth and size, ranging from superficial to full-thickness injuries.
Use History First, Then Exam
- Make the diagnosis primarily from a careful history and confirm with physical examination.
- Use exam findings to supplement unclear histories and be open to revising the story.
Assess Electrical Burn Mechanism
- Evaluate electrical burns by voltage and quality of contact; low household currents differ from high-voltage industrial injuries.
- Recognize sweaty or well-grounded contact increases current flow and destructiveness.