Burns - A Practical Approach

Robert L. Sheridan, MD
Chief, Burn Surgery Service, Boston Shriners Hospital for Children
Division of Burns, Massachusetts General Hospital
Department of Surgery, Harvard Medical School, Boston, MA, USA

The author emphasizes the fundamental surgical, medical and related
procedures involved in each stage of burn care, thus enabling the
reader to focus on the essentials, and ensure the best outcome for
patients. Chapters range from burn physiology, initial care and
resuscitation, to wound evaluation and surgical management,
respiratory and critical care, rehabilitation, reconstruction and
aftercare.

The book’s concise visual approach will appeal to all professionals
caring for burn patients in acute or recovery phases. It is of special
value to those surgeons, physicians, nurses and related professionals in
burn and emergency units.

The author’s experience is immense and varied at two of the finest
burn care organisations, the United States Army’s Institute of Surgical
Research, and the Harvard Program at the Massachusetts General
Hospital and Boston Shriners Hospital for Children.

Contents

1. Background, Recent History, Epidemiology, Organization of Burn Care, Long Term Outcomes
2. Physiology of Burns, Local Response to Burn Injury, Systemic Response to Burn Injury, Pediatric Considerations, Geriatric Considerations
3. Initial Care, Prehospital and Interhospital Transport, Primary Survey, Secondary Survey, Initial Wound Care, Escharotomies and Fasciotomies
4. Fluid Resuscitation, Resuscitation Physiology, Resuscitation Practice
5. Initial Wound Excision and Closure Evaluation of the Wound, Determining the Time and Need for Operation, Techniques of Burn Wound Excision, Techniques to Minimize Blood Loss, Graft Fixation and Postoperative Wound Care, Skin Substitutes, Donor Site Management
6. Respiratory Issues, Inhalation Injury, Carbon Monoxide and Cyanide Exposures, Respiratory Failure, Chronic Airway Management, Weaning and Extubation
7. Burn Critical Care, Neurologic and Pain Control Issues, Critical Care Hemodynamic and Electrolyte Issues, Vascular Access Issues
   Nutritional Support Issues, Complications and Sepsis, Burn Wound Infection
8. Definitive Wound Closure, Facial Burns, Eyelid Burns, Ear Burns, Scalp Burns, Neck Burns, Hand Burns, Genital Burns
9. Special Situations, Electrical Injuries, Chemical Injury, Hot Tar Injury, Cold Injury, Toxic Epidermal Necrolysis, Purpura Fulminans, Staphylococcal Scaled Skin Syndrome, Soft Tissue Trauma and Infections, Injuries of Abuse
10. Outpatient Management, Patient Selection, Techniques
11. Burn Rehabilitation, Early Acute Burn Rehabilitation, Late Acute Burn Rehabilitation, Longterm Burn Rehabilitation and Scar Management
12. Reconstruction and Aftercare, Head and Neck, Hand, Upper
    Extremity, Lower Extremity, Aftercare and Emotional Recovery

Index