Burn Shock
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Introduction[edit | edit source]
Shock is a medical emergency and it occurs when the body's tissues and organs are deprived of adequate oxygenated blood. Burn shock is a term used to describe certain signs such as: decreased cardiac output, increased vascular resistance, hypovolemia and hypoperfusion that occur after severe burn injuries have been sustained[1]. This incident leads to the release of inflammatory substances such as histamines and prostaglandins into the circulation resulting in large movements of fluid from the capillary space. Burn shock mostly occurs within the first 24hrs after sustaining burn injuries with its peak levels at 6 to 8 hours after the injury[1]. It may extend up to 2 to 3 days and last longer in the elderly population[2].
Clinical Manifestations of Burn Shock[edit | edit source]
Treatment of Burn Shock[edit | edit source]
Burn shock is usually managed with fluid resuscitation. Fluid resuscitation is indicated when burns are above 20% of the total burn surface area in both adults and children[1].
Contraindications to Fluid Resuscitation[edit | edit source]
Complications of Burn Shock[edit | edit source]
Role of the Physiotherapist[edit | edit source]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 Schaefer TJ, Nunez Lopez O. Burn Resuscitation And Management. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020
- ↑ Dean S. Management of burns and plastic surgery. In: Porter S editor. Tidy's Physiotherapy (14th Edition). Churchill Livingstone: Elsevier, 2009. p95-112.
