![]() ![]() ![]() The complexity, intensity, multidisciplinary character and expense of the care required by an extensively burned patient have led to the development of specialty care burn centers.It is important that the patient be managed optimally in the early hours after injury to optimize the outcome.The management of seriously burned patients in the first few hours can significantly affect their long-term outcome.The medical response to the thermal-injury aspect of radiological/nuclear mass casualty incidents will require immense resources to comprehensively manage patients’ burns.Uncertainly about optimal ways to implement temporary “ crisis standards of care” in a complex, austere environment. ![]() Temporary austere conditions, where the usual personnel, equipment, space, medications are not available.Conjoint multispecialty teams having little experience working together in large mass casualty incidents that involve radiation.burn, trauma or radiation injury) being less familiar with sophisticated, emergency diagnosis and treatment of other injury types. Local and systemic radiation effects complicating other injuries.The increased mortality could be due many factors including the following.Patients with combined injuries (radiation and trauma ± thermal burns) are known to have increased mortality compared to those who have a single type of injury.An air burst type of nuclear detonation, will likely result in more burn victims than will a ground burst detonation of equal magnitude.Following a radiation mass casualty emergency, especially a nuclear detonation, physical trauma with or without thermal burns ( flash burns or flame burns) will be an immediate concern.See entire List of REMM consultants which includes list of burn consultants from prior versions of REMM.Jeng, with assistance from Annette Matherly, R.N. Joshua Carson, Rachel Williams, Colleen M. Content on this version of the REMM burn page was created in collaboration with the American Burn Association.For burn issues in large mass casualty incidents with austere conditions, see “ Treatment of Burns in Austere, Mass Casualty Conditions” section on this page.For skin injury due to radiation effects, see REMM's Cutaneous Radiation Syndrome page.This page describes the diagnosis and treatment of skin injury due to thermal effects.Treatment of burns in austere, mass casualty conditions.Extended burn care to recovery: burn excision and reconstruction.Preventing, monitoring and treating early burn complications including compartment syndromes and inhalation injury.Adjusting, Monitoring and Titrating Fluid Resuscitation.Determination of percent total body surface area burned.Secondary Injuries / Early Complications.Inhalation injury and pulmonary complications.Burn depth: key descriptor and prognostic factor for burn injuries.Countermeasures - Use of Myeloid Cytokinesīurn Triage and Treatment of Thermal Injuries in a Radiation Emergency Burn Triage and Treatment of Thermal Injuries in a Radiation Emergency.Template for Hospital Orders (Adults/Children). ![]()
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