T31.72

Clinical Causes: Thermal injuries from flames, hot liquids, or steam Electrical accidents causing arc or contact burns Chemical exposures leading to widespread surface burns Fires or explosions in industrial, residential, or outdoor settings Accidental contact with hot objects or substances

Key Symptoms: Severe pain at the site of burns, which may diminish if nerve endings are destroyed Swelling, redness, and blistering over large areas of the skin Charred or white, leathery skin indicating third-degree burns Signs of shock, such as low blood pressure, rapid heartbeat, and weakness Difficulty breathing if burns involve the respiratory pathways or inhalation injury Loss of skin integrity and potential exposure of underlying tissues Possible blistering and swelling that extend over a large portion of the body

Diagnosis Path: Diagnosis of extensive burns involves a physical examination to assess the extent and depth of injury. Medical professionals estimate the percentage of total body surface area (TBSA) affected, often using the Lund and Browder or Rule of Nines. Additional assessments may include evaluating for inhalation injuries, checking for signs of shock, and laboratory tests to monitor organ function and blood chemistry. Imaging studies or other diagnostic tools may be used if there are suspected internal injuries or complications.

Treatment Protocols: Immediate stabilization of the patient, focusing on airway management, breathing, and circulation Fluid resuscitation to replace lost fluids and maintain blood pressure, often following established burn formulas Pain management with appropriate medications Wound care: cleaning, debridement, and dressing of burn areas to prevent infection and promote healing Surgical interventions such as skin grafts or excision if necessary Management of complications like infections, respiratory issues, or organ failure Supportive care including nutritional support, physical therapy, and psychological counseling