42. Frostbite

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on 42. Frostbite

Fig. 42.1 Diagram showing the effect of a closed (a) and an open (b) arterio-venous anastomosis. From Boyd JD. Arterio-venous anastomoses. London Hospital Gazette 1939;42:2–8 42.4 Pathophysiology The general frostbite…

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Care in Burns

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Under–resuscitation Over–resuscitation Oliguria < 0.3 mL/kg/h Polyuria > 1.0 mL/kg/h Hemoglobin > 18 g/dL (Hct > 55%) Decreasing PaO2/FiO2, →pulmonary edema Sodium > 145 mEq/L Increasing pulmonary artery wedge pressure, central venous pressure (CVP) Cardiac index < 2 L/min/m2 Rapidly increasing cutaneous edema Mixed venous oxygen saturation…

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Improvement in Burn Care

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Fig. 8.1 Resources, and how they are utilized within a system or process of care, influence outcomes Bailey described quality improvement as ‘a broad range of activities of varying degrees…

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Burns

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Physiologic differences • Children seem more susceptible to symptomatic bronchospasm than adults • Young infants may have a less mature renal concentrating ability than adults • Young children seem to handle fluid overload…

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Burns

Nov 4, 2020 by in Aesthetic plastic surgery Comments Off on Burns

Fig. 36.1 Escharotomy of the hand is performed by incising the eschar in the intermetacarpal spaces. Care is taken not to unnecessarily sever or expose underlying extensor tendons Patients with…

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