This timely source comprehensively examines the reconstructive issues faced in the treatment of burn survivors and thoroughly reviews key principles in the care of thermal, chemical, and electrical injuries -- clearly demonstrating new and effective techniques for the reconstruction and rehabilitation of burn patients.
Burns are one of the most devastating conditions encountered in medicine. The injuries affect people of all ages, both physically and psychologically, in the developed and the developing world. The correct management of burns needs a skilled multidisciplinary approach and this ABC provides an overview of the most important aspects of burn injuries for healthcare professionals. This ABC book offers a comprehensive yet accessible review of burn management. It introduces the range of burns that a GP may become involved in treating or having treated at hospital. From explanations of how burns happen, through to first aid applications, pre-hospital treatment, dressings, resuscitation and the management of deep dermal burns. It also looks at the subsequent management of burns through hyperalimentation and microbiological management, reconstruction and rehabilitation. A significant contribution to an important area of care: burns are the second most common cause of accidental death in children in the UK. Early treatment of burns is essential to avoid disablement: impact on lungs, infection and later need for plastic surgery can all be reduced by appropriate assessment and prompt treatment. Includes contributions from the UK, USA and Australia, and has a chaper on international disasters. Presented in a clear and concise manner with many illustrations, this book will appeal to a wide readership including medical students, nurses, hospital doctors, and general practitioners.
The second edition of this practical guide offers a comprehensive summary of the most important and most immediate therapeutic approaches in the assessment and treatment of burn injuries. Taking into account age-specific needs in pediatric, adult, and elderly burn patients, several chapters on key issues – such as pre-hospital treatment, wound care and infection control, burn nursing, critical care, burn reconstructive surgery and rehabilitation for burn victims – have now been updated. In addition, the book has been supplemented with the latest information on fluid resuscitation, organ support for burn patients, necrotizing soft tissue infections, and TEN/SJS. Written in a concise manner, the updated edition of this book provides essential guidelines for optimal care to improve patient outcomes, and thus will be a valuable reference resource for physicians, surgeons, residents, nurses, and other burn care providers.
Total Burn Care guides you in providing optimal burn care and maximizing recovery, from resuscitation through reconstruction to rehabilitation! Using an integrated, "team" approach, leading authority David N. Herndon, MD, FACS helps you meet the clinical, physical, psychological, and social needs of every patient. With Total Burn Care, you'll offer effective burn management every step of the way! Effectively manage burn patients from their initial presentation through long-term rehabilitation. Devise successful integrated treatment programs for different groups of patients, such as elderly and pediatric patients. Browse the complete contents of Total Burn Care online and download images, tables, figures, PowerPoint presentations, procedural videos, and more at www.expertconsult.com! Decrease mortality from massive burns by applying the latest advances in resuscitation, infection control, early coverage of the burn, and management of smoke inhalation and injury. Enhance burn patients' reintegration into society through expanded sections on reconstructive surgery (with an emphasis on early reconstruction), rehabilitation, occupational and physical therapy, respiratory therapy, and ventilator management.
This textbook on burn care is focused specifically on the needs of a surgeon. It provides a “how to do” text that presents the practical strategies for initial resuscitation, skin grafting, burn-specific critical care and ultimately guide the surgeon for the best outcomes for the burn surgeon. It provides the reader with basic pathophysiology but avoids a detailed review of the molecular science of burns. Guidelines for basic care with the chapters covering the timeline used for each patient spanning from initial resuscitation (ABCs) to managing their re-socialization are provided. The text covers the key components to the initial management of the burn patient including airway, breathing and circulation. The reader is introduced to the metabolic changes of a major burn and how nutrition and pharmacologic manipulation affects these systemic effects of a burn injury. The management of burn sepsis as well as the basic concepts of wound healing of the different depths and severity of burns are covered. Another chapter covers the basic techniques of skin grafting, rehabilitation and reconstruction with a focus to optimize the cosmetic and functional outcome of the burn. Special chapters cover management of outpatient burns and pediatric injuries. Special burns – electrical, chemical, cold injuries and finally the treatment of other diseases that lead to massive skin loss are covered. Special considerations for pain, scar management, psychosocial recovery, intentional burns, burn prevention and disaster preparation complete the text. Burn Care for General Surgeons and General Practitioners provides a reference for general and plastic surgeons who are planning a career in burns. The textbook will also be a straightforward resource for the general or plastic surgeon who takes care of burns as part of their practice.
This comprehensive atlas provides a step-by-step guide of new techniques in burn surgery and enables readers to identify the appropriate treatment plan and best possible procedure for each patient pre-surgery before delving into a variety of different surgical possibilities for treatment and recovery. Plastic and Reconstructive Surgery of Burns – An Atlas of New Techniques and Strategies presents new solutions in plastic and reconstructive surgery for burns built upon tried and true techniques of contracture restoration using various flaps and skin grafts. Accompanying illustrations and schemes allow the reader to visualize the process from mapping, dissecting and closing the wound. Preoperative and postoperative results are compared, with extensive illustrations and pictures that cover areas of the body most commonly treated for burns including face, neck, breast, torso, arms, legs, hands, and feet. Outcomes of the surgeries including full functional and aesthetic restoration of treated patients are meticulously photographed and provided alongside each technique. New classifications are presented based on contracture anatomy which showcase the development of new flaps and techniques that elevate functional and aesthetic rehabilitation of burned patients to a new level. The culmination of the decades long career of renowned plastic surgeon, Viktor M. Grishkevich, many new and original techniques, currently unpublished in U.S. literature, are detailed in depth alongside techniques uniquely designed by Dr. Grishkevich and previously published around the world. Plastic and Reconstructive Surgery of Burns – An Atlas of New Techniques and Strategies, has international reach and is meant for plastic and reconstructive surgeons with specialties inhand, maxillo-facial, facial, and ENT. Due to its detailed nature, the atlas is also appropriate for residents in the related fields of surgery as well.
The second edition of this volume provides updated information on acute burn treatment. It also discusses genomic responses to burns and novel techniques in this area. Divided into four topical parts, this book provides insights into the history, epidemiology, prevention of burns, as well as initial and pre-hospital management of burns, acute burn care and therapy, and non-thermal burns. All chapters have been edited by leading world authorities on burn care and offer readers a broad overview of the techniques and outcomes in this area. Please also have a look at "Handbook of Burns Volume 2 - Reconstruction and Rehabilitation 2nd edition".
This book presents the principles of hand trauma and plastic reconstructive surgery in a clear and concise manner. Its aim is to instruct the reader on how to identify the priorities of treatment and, using the principles of therapy, select the appropriate treatment modalities. Part one presents the principles of burns and plastic surgery, followed by an explanation of the roles of the multidisciplinary team. Part two explores the role of the physiotherapist and includes the principles of hand therapy, assessment and treatment modalities. Treatment rationales are referenced with the available evidence and aspects that lack evidence are highlighted, with the intention of stimulating further investigation. In order to clarify and reaffirm essential parts of the text, key point boxes are provided regularly throughout the book.
This text book is open access under a CC BY 4.0 license. Written by a group of international experts in the field and the result of over ten years of collaboration, it allows students and readers to gain to gain a detailed understanding of scar and wound treatment – a topic still dispersed among various disciplines. The content is divided into three parts for easy reference. The first part focuses on the fundamentals of scar management, including assessment and evaluation procedures, classification, tools for accurate measurement of all scar-related elements (volume density, color, vascularization), descriptions of the different evaluation scales. It also features chapters on the best practices in electronic-file storage for clinical reevaluation and telemedicine procedures for safe remote evaluation. The second section offers a comprehensive review of treatment and evidence-based technologies, presenting a consensus of the various available guidelines (silicone, surgery, chemical injections, mechanical tools for scar stabilization, lasers). The third part evaluates the full range of emerging technologies offered to physicians as alternative or complementary solutions for wound healing (mechanical, chemical, anti-proliferation). Textbook on Scar Management will appeal to trainees, fellows, residents and physicians dealing with scar management in plastic surgery, dermatology, surgery and oncology, as well as to nurses and general practitioners
This issue of Clinics in Plastic Surgery, guest edited by Drs. Charles Scott Hultman and Michael W. Neumeister, is devoted to Burn Care: Reconstruction, Rehabilitation, and Recovery. Articles in this issue include: Role of Physiatry in the Management of Chronic Pain; New Concepts in OT, PT, RT: Focus on Functional Cutaneous Units; Rehabilitation in the Acute vs Outpatient Setting; Role of Anesthesia in the Management of Chronic Pain; Pathophysiology and Treatment of Hypertophic Burn Scars; Laser Modulation of Hypertrophic Scars; Fat Grafting for Burn, Traumatic, and Surgical Scars; Peripheral Neuropathy and Nerve Compression Syndromes; New Frontiers in Skin Grafting: The Painless, Scarless Donor Site; Tissue Rearrangements: The Power of the Z-pasty; Prefabricated Flaps for Burn Reconstruction; Microsurgery: Timing and Indications in Burn Patients; Hand Reconstruction: Functional Results; Head and Neck Reconstruction; Vascularized Composite Allotransplantation: Hand and Face; Ethics in the Setting of the Burned Patient; Psychosocial-spiritual Needs of Burn Patients; Aftercare, Survivorship, and Peer Support; Global Health Initiatives, Public Policy, and International Missions;Outcomes: Scar Scales, Physiologic Metrics, Measuring QOL; and Big Data: EBM and Best Practices.
