SlideShare a Scribd company logo
1 of 43
Initial Assessment and Resuscitation of the Severely Burned Patient Charles J. Yowler, MD, FCCM Associate Professor of Surgery Director, Burn Center MetroHealth Medical Center Campus Case Western Reserve University
Burn Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway ,[object Object],[object Object],[object Object],[object Object]
Airway ,[object Object],[object Object]
Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway ,[object Object],[object Object]
Carbon Monoxide ,[object Object],[object Object],[object Object],[object Object],[object Object]
Carbon Monoxide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carbon Monoxide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Smoke Inhalation Injury ,[object Object],[object Object],[object Object]
Smoke Inhalation Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rule Of Nines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid Resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Scenario #1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Scenario #1 ,[object Object]
Fluid Resuscitation ,[object Object],[object Object],[object Object],[object Object]
Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring ,[object Object],[object Object]
Monitoring ,[object Object],[object Object],[object Object]
Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring ,[object Object],[object Object]
Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wound Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Agents ,[object Object],[object Object]
Topical Agents ,[object Object]
Topical Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Agents ,[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Burn Wound Infections ,[object Object],[object Object],[object Object]
Escharotomy ,[object Object],[object Object],[object Object],[object Object]
Escharotomy ,[object Object],[object Object],[object Object]
Adjuncts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Injury ,[object Object],[object Object]
Electrical Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
Electrical Injury ,[object Object],[object Object],[object Object],[object Object]
Electrical Injury ,[object Object],[object Object],[object Object]
Electrical Injury ,[object Object],[object Object],[object Object]
Electrical Injury ,[object Object],[object Object],[object Object],[object Object]
Scenario #2 ,[object Object]
Scenario #2 ,[object Object],[object Object]
Scenario #2 ,[object Object]
References ,[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot (20)

Burns
BurnsBurns
Burns
 
Burn
BurnBurn
Burn
 
Burn classification and management
Burn classification and managementBurn classification and management
Burn classification and management
 
Management of patient with burns
Management of patient with burnsManagement of patient with burns
Management of patient with burns
 
Burn
BurnBurn
Burn
 
Burn
BurnBurn
Burn
 
Burn
BurnBurn
Burn
 
BURNS: Surgical Management
BURNS: Surgical ManagementBURNS: Surgical Management
BURNS: Surgical Management
 
Burns
BurnsBurns
Burns
 
Burns
BurnsBurns
Burns
 
BURNS
BURNSBURNS
BURNS
 
Burn ppt shashi
Burn ppt shashiBurn ppt shashi
Burn ppt shashi
 
Burn (3 rd year)
Burn (3 rd year)Burn (3 rd year)
Burn (3 rd year)
 
Thermal burns with anatomy of skin.
Thermal burns with anatomy of skin.Thermal burns with anatomy of skin.
Thermal burns with anatomy of skin.
 
Burns - Assessment and Management
Burns - Assessment and ManagementBurns - Assessment and Management
Burns - Assessment and Management
 
BURNS
BURNSBURNS
BURNS
 
Hypovolemic Shock
Hypovolemic ShockHypovolemic Shock
Hypovolemic Shock
 
Burns
BurnsBurns
Burns
 
Electric burn
Electric burnElectric burn
Electric burn
 
Burns
BurnsBurns
Burns
 

Viewers also liked

Unit 2 management of patients with burn
Unit 2 management of patients with burnUnit 2 management of patients with burn
Unit 2 management of patients with burnsayenew
 
Pathophysiology of burns
Pathophysiology of burnsPathophysiology of burns
Pathophysiology of burnsDavid Edison
 
Pathophysiology, Nutritional Management of BURNS
Pathophysiology, Nutritional Management of BURNS Pathophysiology, Nutritional Management of BURNS
Pathophysiology, Nutritional Management of BURNS Qurrot Ulain Taher
 
Taggart on burns uncovered then covered 2
Taggart on burns uncovered then covered 2Taggart on burns uncovered then covered 2
Taggart on burns uncovered then covered 2SMACC Conference
 
Macken on burn resuscitation
Macken on burn resuscitationMacken on burn resuscitation
Macken on burn resuscitationSMACC Conference
 
Ohio ACEP Board Review: Environmental Emergencies I
Ohio ACEP Board Review: Environmental Emergencies IOhio ACEP Board Review: Environmental Emergencies I
Ohio ACEP Board Review: Environmental Emergencies INicholas Kman, MD, FACEP
 
Emergency management of burn
Emergency management of burnEmergency management of burn
Emergency management of burnArun Angadi
 
Acute care of facial burns (7th august 2010)
Acute care of  facial burns (7th august 2010)Acute care of  facial burns (7th august 2010)
Acute care of facial burns (7th august 2010)Tauseef Hassan
 
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENT
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENTEWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENT
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENTEWMA
 
Story Based Burn Down
Story Based Burn DownStory Based Burn Down
Story Based Burn DownEthan Huang
 
Dissecting the Medical Issues in Pediatric Drowning
Dissecting the Medical Issues in Pediatric DrowningDissecting the Medical Issues in Pediatric Drowning
Dissecting the Medical Issues in Pediatric DrowningSuncoastMeetings
 
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)Harsh Amin
 

Viewers also liked (20)

Unit 2 management of patients with burn
Unit 2 management of patients with burnUnit 2 management of patients with burn
Unit 2 management of patients with burn
 
Pathophysiology of burns
Pathophysiology of burnsPathophysiology of burns
Pathophysiology of burns
 
Lecture four burns first Aid
Lecture four burns first AidLecture four burns first Aid
Lecture four burns first Aid
 
Pathophysiology, Nutritional Management of BURNS
Pathophysiology, Nutritional Management of BURNS Pathophysiology, Nutritional Management of BURNS
Pathophysiology, Nutritional Management of BURNS
 
Burns
BurnsBurns
Burns
 
burns ppt.
burns ppt.burns ppt.
burns ppt.
 
Taggart on burns uncovered then covered 2
Taggart on burns uncovered then covered 2Taggart on burns uncovered then covered 2
Taggart on burns uncovered then covered 2
 
Yanıklar
YanıklarYanıklar
Yanıklar
 
Macken on burn resuscitation
Macken on burn resuscitationMacken on burn resuscitation
Macken on burn resuscitation
 
BDL Intro
BDL IntroBDL Intro
BDL Intro
 
Ohio ACEP Board Review: Environmental Emergencies I
Ohio ACEP Board Review: Environmental Emergencies IOhio ACEP Board Review: Environmental Emergencies I
Ohio ACEP Board Review: Environmental Emergencies I
 
Burn management
Burn managementBurn management
Burn management
 
Emergency management of burn
Emergency management of burnEmergency management of burn
Emergency management of burn
 
Acute care of facial burns (7th august 2010)
Acute care of  facial burns (7th august 2010)Acute care of  facial burns (7th august 2010)
Acute care of facial burns (7th august 2010)
 
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENT
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENTEWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENT
EWMA 2014 - EP437 BURN AND POST TRAUMATIC SCARS TREATMENT
 
Story Based Burn Down
Story Based Burn DownStory Based Burn Down
Story Based Burn Down
 
Dissecting the Medical Issues in Pediatric Drowning
Dissecting the Medical Issues in Pediatric DrowningDissecting the Medical Issues in Pediatric Drowning
Dissecting the Medical Issues in Pediatric Drowning
 
Penanganan Luka Bakar untuk Umum
Penanganan Luka Bakar untuk UmumPenanganan Luka Bakar untuk Umum
Penanganan Luka Bakar untuk Umum
 
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)
Fluid resuscitation in burn - HARSH AMIN (plastic & cosmetic surgeon)
 
Drowning
DrowningDrowning
Drowning
 

Similar to Burns

Nursing management of patient with Burns
Nursing management of patient with BurnsNursing management of patient with Burns
Nursing management of patient with BurnsAsokan R
 
Burns And ANAESTHESIA
Burns And ANAESTHESIABurns And ANAESTHESIA
Burns And ANAESTHESIAahmeddam
 
Burns, tm ankylosis
Burns, tm ankylosisBurns, tm ankylosis
Burns, tm ankylosisAparna Jain
 
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.pptssuserd131ec
 
Nursing management of burn patient
Nursing management of burn patient Nursing management of burn patient
Nursing management of burn patient NehaNupur8
 
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdf
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdfSCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdf
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdfbureresjemimahmed
 
EMERGENCY CARE OF BURNS.pptx
EMERGENCY CARE OF BURNS.pptxEMERGENCY CARE OF BURNS.pptx
EMERGENCY CARE OF BURNS.pptxRenuSingla3
 
Burns -Harrison's internal medicine
Burns -Harrison's internal medicine  Burns -Harrison's internal medicine
Burns -Harrison's internal medicine NITISH SHAH
 
Anaesthetic management in a patient of burns injury
Anaesthetic management in a patient of burns injuryAnaesthetic management in a patient of burns injury
Anaesthetic management in a patient of burns injurykshama_db
 
Burn management
Burn management Burn management
Burn management halaladlzar
 

Similar to Burns (20)

Burn Injuries
Burn InjuriesBurn Injuries
Burn Injuries
 
Burns
BurnsBurns
Burns
 
Nursing management of patient with Burns
Nursing management of patient with BurnsNursing management of patient with Burns
Nursing management of patient with Burns
 
Burns And ANAESTHESIA
Burns And ANAESTHESIABurns And ANAESTHESIA
Burns And ANAESTHESIA
 
BURNS.pdf
BURNS.pdfBURNS.pdf
BURNS.pdf
 
Burns, tm ankylosis
Burns, tm ankylosisBurns, tm ankylosis
Burns, tm ankylosis
 
Burns.pptx
Burns.pptxBurns.pptx
Burns.pptx
 
Burns Rohit.pptx
Burns Rohit.pptxBurns Rohit.pptx
Burns Rohit.pptx
 
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt
60acFINAL_BURNS_PRESENTATION(FAHEEM).ppt.ppt
 
Management of burns
Management of burns   Management of burns
Management of burns
 
Nursing management of burn patient
Nursing management of burn patient Nursing management of burn patient
Nursing management of burn patient
 
Burns and sudden death
Burns and sudden deathBurns and sudden death
Burns and sudden death
 
Burns and sudden death
Burns and sudden deathBurns and sudden death
Burns and sudden death
 
Burn and anaesthesia
Burn and anaesthesiaBurn and anaesthesia
Burn and anaesthesia
 
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdf
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdfSCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdf
SCHWARTZ HOUR-BURNS-COVERS THE DEFINITIONS AND MANAGEMENT .pdf
 
EMERGENCY CARE OF BURNS.pptx
EMERGENCY CARE OF BURNS.pptxEMERGENCY CARE OF BURNS.pptx
EMERGENCY CARE OF BURNS.pptx
 
Burns -Harrison's internal medicine
Burns -Harrison's internal medicine  Burns -Harrison's internal medicine
Burns -Harrison's internal medicine
 
Anaesthetic management in a patient of burns injury
Anaesthetic management in a patient of burns injuryAnaesthetic management in a patient of burns injury
Anaesthetic management in a patient of burns injury
 
Burn1.pptx
Burn1.pptxBurn1.pptx
Burn1.pptx
 
Burn management
Burn management Burn management
Burn management
 

More from Andrew Ferguson

Drugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUDrugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUAndrew Ferguson
 
Role modelling in medical education
Role modelling in medical educationRole modelling in medical education
Role modelling in medical educationAndrew Ferguson
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsAndrew Ferguson
 
Focused thoracic ultrasound
Focused thoracic ultrasoundFocused thoracic ultrasound
Focused thoracic ultrasoundAndrew Ferguson
 
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUThe CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUAndrew Ferguson
 
Chest radiology in intensive care
Chest radiology in intensive careChest radiology in intensive care
Chest radiology in intensive careAndrew Ferguson
 
Perioperative acute kidney injury
Perioperative acute kidney injuryPerioperative acute kidney injury
Perioperative acute kidney injuryAndrew Ferguson
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failureAndrew Ferguson
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisAndrew Ferguson
 
Pulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistPulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistAndrew Ferguson
 
Intravenous Anaesthetics
Intravenous AnaestheticsIntravenous Anaesthetics
Intravenous AnaestheticsAndrew Ferguson
 
Renal replacement therapy in intensive care
Renal replacement therapy in intensive careRenal replacement therapy in intensive care
Renal replacement therapy in intensive careAndrew Ferguson
 
Predicting fluid response in the ICU
Predicting fluid response in the ICUPredicting fluid response in the ICU
Predicting fluid response in the ICUAndrew Ferguson
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCAAndrew Ferguson
 
Subarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmSubarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmAndrew Ferguson
 
Grand Rounds November 2009
Grand Rounds November 2009Grand Rounds November 2009
Grand Rounds November 2009Andrew Ferguson
 
Fluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionFluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionAndrew Ferguson
 

More from Andrew Ferguson (20)

Drugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUDrugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICU
 
Biomarkers in sepsis
Biomarkers in sepsisBiomarkers in sepsis
Biomarkers in sepsis
 
Role modelling in medical education
Role modelling in medical educationRole modelling in medical education
Role modelling in medical education
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilators
 
Focused thoracic ultrasound
Focused thoracic ultrasoundFocused thoracic ultrasound
Focused thoracic ultrasound
 
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUThe CHEST trial - HES in the ICU
The CHEST trial - HES in the ICU
 
Ultrasound
UltrasoundUltrasound
Ultrasound
 
Chest radiology in intensive care
Chest radiology in intensive careChest radiology in intensive care
Chest radiology in intensive care
 
Perioperative acute kidney injury
Perioperative acute kidney injuryPerioperative acute kidney injury
Perioperative acute kidney injury
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failure
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and Haemostasis
 
Pulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistPulmonary hypertension and the Intensivist
Pulmonary hypertension and the Intensivist
 
Intravenous Anaesthetics
Intravenous AnaestheticsIntravenous Anaesthetics
Intravenous Anaesthetics
 
Renal replacement therapy in intensive care
Renal replacement therapy in intensive careRenal replacement therapy in intensive care
Renal replacement therapy in intensive care
 
Predicting fluid response in the ICU
Predicting fluid response in the ICUPredicting fluid response in the ICU
Predicting fluid response in the ICU
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCA
 
Subarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmSubarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and Vasospasm
 
Grand Rounds November 2009
Grand Rounds November 2009Grand Rounds November 2009
Grand Rounds November 2009
 
Orientation To The Icu
Orientation To The IcuOrientation To The Icu
Orientation To The Icu
 
Fluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionFluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive Transfusion
 

Recently uploaded

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 

Burns

  • 1. Initial Assessment and Resuscitation of the Severely Burned Patient Charles J. Yowler, MD, FCCM Associate Professor of Surgery Director, Burn Center MetroHealth Medical Center Campus Case Western Reserve University
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.