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Burns

Academic Paper Review   by:D4NS     Original Author: dans
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This abstract was translated from Penanganan luka bakar
 
In everyday life - the day we often encounter unforeseen circumstances. either on purpose or not, in this case perhaps we should be able to take lessons from an event that is not unexpected, whether it happened to a family friend, our friends and the community at large. for example we are exposed to a fire or exposed to hot water mapun substances flammable that afflicts us, it is good we prevent it happening, if it happens we should be able to perform first aid, by as early as possible to prevent the situation worse, do not cover fire with a cloth or plastic or objects that are flammable. instead it will result in more severe circumstances. it helps remove the objects and move them to a safer place. use cold water or running water to prevent the hot air lebihan.atau refer immediately to the nearest hospital.
what it burns?
The burn is a wound on the mark with damage to the epidermis to the deeper part of the dermis, caused by contact with hot objects, chemicals, electricity or radiation.
Objective: Avoiding a more severe infection, Providing appropriate action
Action procedure:
Actions ABC

* Anamnesa Causes burns injuries occur bakar.Kapan

* Physical Examination

◦ general state: Signs - vital signs, respiratory
◦ Determine the location of the burn
◦ Determine the area of ​​burn system (9)
Reference: degree burns
Grade I Damage limited to the epidermal layer, which is on the mark with redness and after 24 hours that followed the bubble arises exfoliation
Damage to some degree II dermis, which mark the onset of bullae
The degree of damage to all layers of the dermis III or deeper. Epithelium seem to peel and the white area of ​​coagulation proteins because the dermis. Touche light sensation and pin prick test negative
Fourth-degree burns on the muscle, even to the bone
Reference: Indications of hospitalization
Degree II more than 15% in adults and more than 10% in children
Degree II in the face, hands, feet and perineum (Risk happen contractures)
III degree more than 2% in adults and every degree III in children
Burns in trauma accompanied viscera, bones and airway

* Investigations (when in need) Laboratory: Hematology routine, albumin / globulin, U, creatinine, Na +, K +, Astrup, Radiological: Photo Thorax, ECG
* Therapy:

◦ Treat the wound with 0.9% Nacl
◦ infusion (if necessary)
◦ Oxygen (if necessary)
◦ drugs - drugs as indicated, include: analgesics, antibiotics
Published: September 04, 2011   
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