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Springer Treatment of Burns 1st Editon 2011 Softbound by Chih-Chun Yang, Wei-Shia Hsu, Tsi-Siang Shih
The greater the poverty, The stronger the will. In the face of hardship, Soar, soar, soar on still WANG Bo (650-676 A.D.) In the late spring of 1958 a patient was admitted to Rui Jin Hospital with extensive burns; just minutes before he had been dexterously operating one of Shanghai's' productive converters' used in the making of steel. He resembled a mass of charcoal but was mentally alert, asserting that he must survive, not only because of the great expectations he had of life but also to con tinue working in his beloved post as first-generation steelworker in this newly liberated country. The case presented a stern challenge; faced with this man yearning both for his own life and for that of the society in which he lived, we had no way of escaping either 'poverty' (in the form of our limited facilities) or hardships. However, by pooling all our efforts we were able to ensure that the patient ultimately survived the extremely tortuous course that followed, in addition to which quite good functional recovery was achieved. So began our burn unit. It was on this patient that we performed for the first time artificial hibernation (in the treatment of burns), early eschar excision, repeated autos kin cropping, and allografting. Not only were these the decisive measures which helped our patient to achieve his professed intention, but they also gradually evolved to become the characteristics of our present-day treatment. Introductory Remarks.- I Early Management of Burn Patients.- 1 Emergency Care and Transportation.- 2 Estimation of BSA Burned; Assessment and Classification of Depth of the Burn Wound.- 3 Early Care of Burns.- II Burn Shock.- 1 Method of Fluid Therapy.- 2 The Clinical Significance and Management of Common Symptoms in the Shock Stage.- 3 Administration of Artificial Hibernation Drugs.- 4 Administration of Diuretics.- III Management of the Burn Wound.- 1 Principles of Management.- 2 Methods and Choice of Treatment.- 3 Application and Choice of Chinese Herb Medicine.- 4 Treatment of Third Degree Eschar.- 5 Skin Grafting.- 6 Allografts, Xenografts, and Intermingled Transplantation.- IV Infection of the Burn.- 1 The Onset of Septicemia.- 2 Symptoms of Septicemia.- 3 Early Diagnosis of Septicemia.- 4 The Prevention and Treatment of Septicemia.- 5 Fungal Infection.- V Traditional Chinese Treatment of Burns.- 1 Treatment Following Discrimination of Symptoms and Signs in Burns.- 2 Methods of Treatment and Medication.- 3 Diagnostic Significance of “Pulse Picture” and “Tongue Picture”.- VI Water-Electrolyte and Acid-Base Balances.- 1 Water-Electrolyte Balance.- 2 Acid-Base Balance.- VII Burns of Special Sites.- 1 Burns of the Head and Face.- 2 Burns of the Respiratory Tract.- 3 Burns of the Eye.- 4 Burns of the External Ear.- 5 Burns of the Hand.- 6 Burns of the Perineum.- 7 Burns of the Bones and Joints.- VIII Electric Injury.- 1 Pathologic Features.- 2 Treatment.- 3 Complications.- IX Chemical Burns.- 1 Acid Burns.- 2 Alkali Burns.- 3 Agents Causing Chemical Burns Associated with Systemic Poisoning.- 4 Other Chemical Burns.- 5 Chemical Burns of the Eye.- X Burns Complicated by Trauma.- 1 Blast and Gas Explosion Injuries.- 2 Craniocerebral and Spinal Injuries.- 3 Fractures.- 4 Soft Tissue Injuries.- 5 Hot Roller Burns of the Hand (Hot Roller Hand).- 6 Trauma of the Chest and Abdomen.- XI Systemic Complications of Burns.- 1 Pneumonia.- 2 Cardiac Complications.- 3 Deep Venous Thrombosis-Including Pulmonary Embolism.- 4 Acute Postburn Ulcerative Bleeding.- 5 Diarrhea.- 6 Jaundice.- 7 Stress Diabetes.- 8 Acute Renal Failure (ARF).- 9 Bone and Joint Complications.- XII Nursing Care in Burns.- 1 Sources of Infection, Disinfection, and Isolation.- 2 Nutrition.- 3 Intravenous Fluid Administration.- 4 Basic Nursing Care.- XIII Pathologic Anatomy of Burns.- 1 Local Pathologic Changes.- 2 Systemic Disturbances Caused by Cutaneous Burns.- XIV Plastic Surgery in Burns.- 1 General Considerations.- 2 Cicatricial Contraction of the Face.- 3 Cicatricial Contraction of the Neck.- 4 Cicatricial Contraction of the Axilla.- 5 Cicatricial Contraction of the Elbow.- 6 Cicatricial Contraction of the Hand.- 7 Cicatricial Contraction over the Perineum.- 8 Cicatricial Contraction of the Popliteal Fossa and Chronic Ulcer of the Leg.- 9 Cicatricial Contraction of the Foot.- 10 Cicatricial Contraction After Very Extensive Third Degree Burns.- 11 Skin Lesions Following Radiation Burn.- 12 Transplantation of Free Skin Flaps.- XV Anesthetization of Burn Patients.- 1 Preparation for Anesthesia.- 2 Premedication.- 3 Choice of Anesthesia.- 4 Anesthetic Management.- 5 Anesthesia for Plastic and Reconstructive Surgery.- Appendix I The Subeschar Bacterial Count.- Appendix II Preparation and Deep-freeze Storage of Allografts and Xenografts.