1. NURSING CARE MANAGEMENT OF BURNS IN ER
BY: NESTOR A. SALAZAR JR., RN
Speaker

2. II. TYPES OF BURNS THERMAL BURN EXPOSURE/CONTACT : Steam or Hot Object
Flames
Hot Liquids

3. B. CHEMICAL BURN

4. III. METHODS TO ESTIMATE THE EXTENT OF INJURY
A. LUND-BROWDER CHART
* Most accurate
*Pediatric Patient

5. B. RULE OF NINE
ADULT SKIN AREAS
Head & Neck 9%
Torso 36%
Arms 18%
Legs 36%
Perineum 1%
____________
100%
Disadvantage: Overestimation

6. IV. BURN DEPTH Injury to Epidermis Blood supply-Intact
SUPERFICIAL-THICKNESS BURN
Injury to Epidermis
Blood supply-Intact
Painful – ease by cooling
Heals: 3-6 days
No scarring
Skin Graft not Required

7. Painful-sensitive to air Heals: 10-21 days without scarring
B. SUPERFICIAL PARTIAL-THICKNESS BURN
Deeper into Dermis
Blood supply reduce
Large Blisters
Edema
Painful-sensitive to air
Heals: days without scarring
Graft maybe use

8. Wound surface: Red & Dry white areas in deep Edema is Moderate
C. DEEP PARTIAL-THICKNESS BURN
Extend to deeper Dermis
No blisters
Wound surface: Red & Dry
white areas in deep
Edema is Moderate
Can convert to Full-thickness burn
Heals: 3-6 wks
Scar form & skin grafting required

9. D. FULL THICKNESS BURN
Destruction of Epidermis & Dermis
Dry Hard & Leathery Eschar
Sensation: Reduce / Absent
Heals: Weeks or Month
Grafting required

10. E. DEEP FULL-THICKNESS BURN
Fascia, tissues, muscle, bone & tendon
Sensation: completely absent
Eschar: Hard/inelastic
Heals: Month
Skin Grafting required

12. B. Face C. Ear III. BURN LOCATION Head Neck Chest D. Perineal Area
Pulmonary
Complication
Corneal
Abrasion
B. Face
C. Ear
Auricular
Chondritis
D. Perineal
Area
Autocon
tamination

13. V. PATHOPHYSIOLOGY OF BURNS
LOCAL RESPONSE
JACKSON’S BURN ZONE

14. B. SYSTEMIC RESPONSE
Systemic changes that occur after a burn injury