Wound Healing, Burn Injuries and Plastic Surgery

Posted by e-Medical PPT Monday, September 24, 2012
Wounds
Any breach in the surface of the body or any tissue disruption produced by the application of energy

Wound Healing
As wound heals:
Fluid and cells drain from damaged tissue
Exudate may be:
Clear
Bloody
Pus-containing
Proper wound healing:
Cleanliness and care of lesion
Proper circulation
Good general health and nutrition


Phases of healing
Inflammatory
  Bleeding/clotting
  Migration of WBCs
  Cell swelling
Reparative
  Laying down of collagen + migration of epith. cells
  New capillary loops
  Proliferation of fibroblastsstrands of collagen
Consolodative
  reorientation +contraction of collagen
  collagen synthesisdegradation
  Reduce vascularity

Burn Injuries
Statistics
Annually, there are approximately 1.25 million people in the US who sustain burn injuries
Of these, 5,500 do not survive and 51,000 require hospitalization
Persons whose burn injuries require hospitalization have about a 50% chance of sustaining temporary or permanent disability
The most common part of the body involved in burn injury is an upper extremity, followed by the head and neck

Burn Classification
Superficial: only the epidermis
Superficial partial thickness: epidermis and dermis, excluding all the dermal appendages
Deep partial thickness: epidermis and most of the dermis
Full thickness: epidermis and all of the dermis

Burn Treatment
Respiratory care
Administration of fluids
Wound care (debridement)
Pain control
Plastic surgery (eg: skin grafts)
Monitoring for complications
Infections
Cardiovascular
Respiratory
Massage & Physical therapy
massage video
Posttraumatic stress
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