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depending on the history:
1) burn: flash vs direct contact with burning object
2) burn, momentary or continuous burning precess (chemical)
a) degree of burn, second is obvious, ? third centrally
3) crush: blast effect causing internal muscle injury/necrosis (muscle tissue death)
4) other associated injuries
all burns patients = trauma patients with burns
A,B,C,D,E first
any question of more than superficial burn, cover with dry sterile dressing and evac....if less than 4-5% total body surface area can cool it with saline UNLESS it's a chemical that might react with water!!!
how far do you want to go with this one??
T-2
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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