Burning apartment building decided to jump from window

Assignment Help Science

Reference no: EM133676196

At the completion of this case study, the participant will be able to:

Explain how burns are classified.

Identify major complications associated with the burn patient.

Identify major principles for treatment of the burn patient.

Describe the signs of inhalation injury.

State the purpose of an escharotomy.

Case presentation

A 31 year old male trapped in a burning apartment building decided to jump from a window. Pre-hospital assessment performed by emergency personnel revealed burns to his bilateral extremities, scalp, face, thorax, and back (an estimated 45% TBSA burn). It also appeared he sustained a tibia/fibula fracture of the left leg and a crush injury of the right ankle. He was brought into the emergency room on a 100% oxygen non-rebreather mask. In the emergency room he was promptly intubated with an oral 7.5 ETT because of suspected inhalation burns. Appropriate analgesics and IV fluids were administered and the patient was placed on mechanical ventilation. He was immediately taken to the burn unit to begin the resuscitation protocol.

The patient slowly improved. Weaning from mechanical ventilation was attempted via CPAP trials. Two weaning attempts failed. He developed pleural effusion on the right and right upper lobe pneumonia. Pseudomonas was cultured from his sputum. Escharotomy was required on all ten fingers. Debridement and skin grafting proceeded without complications. The patient received a tracheotomy during the fourth week and is now on a tracheostomy collar throughout the day with mechanical ventilation support (AC) at night.

Reference no: EM133676196

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