Burns shockR57.1

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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DefinitionThis section has been translated automatically.

Shock due to burns. A distinction is made between:
  • Primary combustion shock: Shock immediately after combustion.
  • Secondary Burn Shock: Hypovolemic shock due to loss of fluid outwardly through the wound surface, inwardly in oedema in and away from the burn area due to the release of vasoactive mediators. Risk of secondary burn shock if the burn exceeds 10-20% of adult CO and 5-10% of child CO.

TherapyThis section has been translated automatically.

Intensive treatment, volume substitution with electrolyte, calorie and fluid balancing, thermoregulation, delivery of the patient to a burn center or a specialist department (e.g. Bergmannsheil Bochum, BG Unfallklinik Ludwigshafen). Cooperation with internists and burn surgeons.

External therapyThis section has been translated automatically.

S.u. Burning.

LiteratureThis section has been translated automatically.

  1. Engelhardt M et al (2001) Radiation and burn trauma (combined injury). Considerations in surgical treatment. Trauma surgeon 104: 333-342
  2. Horton JW et al (1990) Hypertonic saline dextrane resuscitation of thermal injury.
  3. Merell SW et al (1986) Fluid resuscitation in thermally injured children. At J Surg 152: 664-669
  4. Passaretti D et al (2003) Management of pediatric burns. J Craniofac Surgery 14: 713-718

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer