Burn Injury Rehabilitation

Burn Injury RehabilitationEpidemiology1.5-2 million burn cases annually(USA)70-100 thousand- hospitalized35-50 thousand with temporary or permanent disabilityHead, neck, and upper extremities- most frequently involvedThree Development1. Resuscitation formulasTo counteract major fluid loss (to decrease mortality)50%TBSA=50% mortality rate(mid-60s) 50%TBSA=10% mortality rate today)

2. Infections3. Stretching/Pressure: core of burn rehabilitation in treating hypertrophic scarring/contracturesPathophysiology(normal skin: Epidermis/ Dermis)Local effects of heat injurySystemic effects of heat injury Skin regeneration & scarringBurn ClassificationA. Causative Agent 1. thermal: a. heat b. cold 2. electricalB. Depth of Burn: 1.superficial partial thickness 2. deep partial thickness 3. full thicknessMinorModerateMajorChildrenP. thickness20%F. thickness10%ADULTS

P. thickness25%F. thickness10%AGE