Lecture notes for medical students

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6. Good for self study also.
7. See notes for bibliography.

2. What we do

3. What we do
1. Antibiotics.
2. IV fluids
3. Diclofenac

4. What we should be doing

5. What we should be doing
• Oxygen by mask+ Nebulization
• T.T. + TIG
•

6. What we should be doing

7. What we should be doing
• IVF by central line-
• NS/RL
– Day 1- 2ml x Bodyweight x % of Burn + 2
liters D5
– Typically NS-5 + RL-5 + D5 – 4 points
– Day 2 - Half of the above
– Day 3 - ¼ of Day 1
– Day 4 – No IV Fluids
–

8. What we should be doing

9. What we should be doing
• Inj. Hydrocortisone 100mg iv single dose
for facial Burns.
•

10. What we should be doing
•

11. What we should be doing
• Early Blood Tranfusions
•

12. What we should be doing

13. What we should be doing
• Analgesics –
– Inj. Dynapar 1amp + 4ml DW IV 12 hourly
– Inj. Tramodol 1 amp in drip 6 hourly
– Inj. Pentazocin 1ml + 10ml DW IV 6 hourly
– Inj. Diazepam 1ml + 10ml DW IV 12 hourly
– Inj. Phenergan 1amp + 10ml DW IV HS
–

14. What we should be doing

15. What we should be doing
• Inj. Pantoprazole 40mg IV OD
• Syrup Gelusil 2TSF QID
•

16. What we should be doing

17. What we should be doing
• High Protein diet (+ eggs)
• Protein Powder 2 TSF BD
• Glucose Powder 2 TSF 1 hourly
• Iron Syrup 1TSF TDS
• Multivitamin Syrup 2 TSF BD
• Syrup Lectulose 2TSF BD
•

18. What we should be doing

19. What we should be doing
• Antibiotics only if
fever/Tachycardia/Leucocytosis
• More percentage of burn = higher
antibiotc ?
• Don't use pus culture for antibiotics
selection. Use blood culture.

20. What we should be doing

21. What we should be doing
• MLC – Dying Declaration
• Send to Mortuary on expiry.

22. What we should be doing

23. What we should be doing
• Cervical Collar with Chin support for neck
burns.
• Early Physiotherapy

24. Wound Management

25. Wound Management
• Escharotomy.
• No Open Dressing.
• Close Dressing with silver sulphadiazine.
• On healing – Coconut Oil with Camphor.
• Surgical toilet.
• Wound excision and skin grafting

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28. Get this ppt in mobile
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store.
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3. Open Google lens.
4. Scan qr code from
next slide.

29. Get this ppt in mobile

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