Provision of Intensive Care Services at Burn

Publish Year: 1397
نوع سند: مقاله کنفرانسی
زبان: English
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NCBMED08_038

تاریخ نمایه سازی: 18 تیر 1398

Abstract:

Burns may cause significant changes in the body s hemostatic status due to severe respiratory and metabolic disturbances. According to studies conducted in England, inhalation injuries double the chance of death in burns. Research suggests the need for collaboration and interaction by several specialists to provide high-quality clinical care for burn injuries. Defined standards for all burn patients requiring special care, whether in the general or specialized ward.standards:1. Evaluation of the rehabilitation needs of all patients within 24 hours after admission to the ICU (Approximately 83% of the patients also require rehabilitation after discharge).2. Patients should receive rehabilitation services for at least 5 days a week for 45 minutes.3. Patients should use rehabilitation tools that are useful during bedding, depending on the burn (acute and non-acute) burn.4. In the emergency department, within 24 hours, a rehabilitation program must be prepared for the patient and each patient should receive the services according to the plan.Early complications in the burn:Burn injuries result in shock, vascular damage, and damage to the collagen tissue. Burn injuries, as well as fluid loss and transboundary fluid transfer, are continuous. Burn injury can be associated with other injuries, therefore, these patients should be in critical care (ATLS)CONE RTALG suggests that providing 75% of the intensive care will help a lot in terms of patient recovery. Use of sedative and analgesic helps to increase fluid volume.Replacing high-volume liquids after burns. Following a renal failure in burns, it causes lung vomiting, abdominal syndrome, and organ failure. Otherwise, the lack of proper fluid replacement causes death in 2 hours (It is recommended to replace low-volume fluids ) -Survival in the open space can increase the risk of inhalation damage, which is characterized by soot burns in the patient s sputum, nosebleed and burning of the face and neck. Other symptoms include respiratory distress accompanied by wheezing, altered mental state, anxiety, all of which It has a bad breath. Burns create a metabolic disorder that can be seen up to one year after a burn injury. This is accompanied by increased protein, fat, muscle analysis, slow wound healing and immune system weakness.

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