Nadia runs a fast food shop. One friday she spilled hot oil on
her hand. she did not take a day off and only used painkiller
and dressing.
the next day she went to health care, the doctor found she have a
burn and pain persistent, unable to use hands and swollen, tender
and red, blisters, bullae, necrotic cells.
doctor informed her she have 2nd degree burn
degree of burn injury
1st degree
erythema , pain , absence of blisters , not life
threatening , do not require IV fluid replacement ,
totally heal in few days
2nd degree
red or mottled appearance , swelling , blister formation , the
surface may have weeping , wet appearance , painfully
hypersensitive even to air current .
3rd degree
appear dark & leathery , the skin may appear translucent , mottled , or
waxy white , the surface may be red & does not blanch with pressure , the
surface is painful & generally dry , healing may be from edge but mostly
needs skin graft .
4th degree
involves the subcutaneous tissues , fat , tendon , muscles ,
fascia ,nerves , vessels & bones
after few days, the pain increased all the way to her armpits. she had
fever. she went to doctor and he found her temp was 38 C
doctor told her: the burn appears infected that is caused by pathogenic
bacteria
Burn wounds are dynamic and need reassessment in the first
24-72 Hours, otherwise bacteria invasion will occur.
Impaired cellular immunity also humoral immunity defect , leading to
local infection if severe can leads to sepsis & septic shock .
doctor took a wound swab from infected site to determine the cause of infection.
why we do wound swab?
To identify organisms in wounds known or suspected to be infected.
As part of screening programmes to identify patients who may be carrying infections without
displaying any signs or symptoms.
he recommended antibiotics to her. And gave her penicillin injection based on
Nadia's request.
what are antibiotics
of antimicrobial drug used in the
treatment and prevention of
bacterial infections. They may
either kill or inhibit the growth of
bacteria.
they don't treat infections caused by viuses.
antibacterial resistance?
one week later nadia got better
6 months later, the doctor noticed the site of burn is elevated, thick, and itchy, and the
doctor told her thats the normal body response to a burn and gave her an ointment
management and assessment
to assess amount of fluid loss
first Aid for burns
what is burn?
cell death caused by
intense by many factors
its effect:
social
body image disorder
avoiding coping or -ve coping
sexual issues
physical
scar formation
disability
types?
Thermal
fire, boiling water or oil
Chemical
acids and alkaline
Electrical
by high voltage or Low voltage
mechanical
friction
radiation
depends on dose and type of radiation.
necrosis vs apoptosis
what is blister?
a small sac containing liquid or gas with
diameter 0.5 cm or less