![]() The burn injury can be classified into different zones. It's also where eschar is made.Ī burn is defined as an injury to the tissue, usually caused by heat but also by abnormal cold, chemicals, electricity, lightning, or in some cases, poisonous gas. The dermis provides the flexibility in the skin and the vascularity. The epidermis is the water tied, outer layer that acts like shingles on a house. ![]() The skin is broken down into a couple of functional units. It protects us from infection and injury, helps keep temperature and body fluids inside, and it's our interface, our sensory contact with the world. It's important to remember that the skin protects us from our environment. Mohr: Next, we'll discuss a brief overview of the skin and burn classifications. And so, the joke still pertains that without Y chromosomes in men and alcohol, there wouldn't be a need for very many burn surgeons.ĭr. They have impaired responsiveness and in fact, 40% of fire deaths are associated with substance abuse. Most of the patients that we care for currently, you know, engage in some sort of risk taking behavior. Just things to keep in mind when caring for the extremes of age. Likewise, the elderly, although they have had full thickness skin over the course of their life, the thickness or the integrity of their skin has began to fade as we get older, making the more susceptible to converting what we would call a second-degree burn into a third or full thickness burn. I'll make one more point about the very young and very old is that although they may initially be diagnosed with what is considered a second-degree burn or a partial thickness burn, very young children are - have at that point in their age been unable to develop a thick dermis to resist basically the transformation into a full thickness burn. Again, elderly people usually typically carry a set of medical comorbidities or conditions that make their care a little bit more challenging. Most commonly, burns - again, now this would change if this was a mass casualty, but what we see in our daily practice is most of them occur in our homes with kitchen fires and scalds being very, very common.Īgain, children and our elderly, vulnerable adults, and children or individuals most commonly are injured by a scald burn for our very young, and our elderly people are most often injured by flames. Now, these are all comers because as we'll talk about a little bit later that patients of the extremes of age fall into a little bit different area. The injury types are most commonly from fire or flame, followed up by scald. It's most common in Caucasians, however the other groups make - other ethnic groups make up their overall representation in the generalized community. Typically, this a disease or an injury pattern that happens among males in roughly about a 2:1 ratio. Overall, we're pretty good, as the large burns are becoming less and less common due to our building codes and some of our advances in fire safety. 40,000 of these patients are hospitalized annually, and with right around 3-4,000 of these patients dying from their injuries. We all know somebody, if ourselves have not been burned at least at some level, but it's around 1.25 million events per year where roughly a half of a million of those patients are sought - seek treatment. Now, in the event of a mass casualty and in essence, these patients may have slightly different backgrounds or situations, but this is just basically an overview and a background a little bit of what burns and we thought we would include it. Now, the first thing to remember is that this is burns all coming, and this is basically a brief epidemiological conversation about what we normally see. ![]() The second module, I'm going to talk a little bit about burns and their backgrounds, and a little bit about the how to discuss and tease out the nature and epidemiology of these burn injuries. ![]() Next: Module 3 Advanced: Burn Treatment and Stabilization Next: Basic: Burn Treatment and Stabilization The nature and epidemiology of burn injuries as well as and overview of skin and burn classifications.
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