Burns shock R57.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Shock due to burns. A distinction is made between:
  • Primary combustion shock: Shock immediately after combustion.
  • Secondary Burn Shock: Hypovolemic shock due to loss of fluid outwardly through the wound surface, inwardly in oedema in and away from the burn area due to the release of vasoactive mediators. Risk of secondary burn shock if the burn exceeds 10-20% of adult CO and 5-10% of child CO.

Therapy
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Intensive treatment, volume substitution with electrolyte, calorie and fluid balancing, thermoregulation, delivery of the patient to a burn center or a specialist department (e.g. Bergmannsheil Bochum, BG Unfallklinik Ludwigshafen). Cooperation with internists and burn surgeons.

External therapy
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S.u. Burning.

Literature
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  1. Engelhardt M et al (2001) Radiation and burn trauma (combined injury). Considerations in surgical treatment. Trauma surgeon 104: 333-342
  2. Horton JW et al (1990) Hypertonic saline dextrane resuscitation of thermal injury.
  3. Merell SW et al (1986) Fluid resuscitation in thermally injured children. At J Surg 152: 664-669
  4. Passaretti D et al (2003) Management of pediatric burns. J Craniofac Surgery 14: 713-718

Incoming links (1)

Incineration;

Outgoing links (2)

Incineration; Shock;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020