Table of Contents
Contributors
Preface
Introduction: History of the treatment of burns 1
1 Teamwork for total burn care: achievements, directions, and hopes 11
2 Epidemiological, demographic, and outcome characteristics of burn injury 16
3 Prevention of burn injuries 33
4 Care of outpatient burns 40
5 Burn disaster management 51
6 Pre-hospital management, transportation, and emergency care 67
7 Pathophysiology of burn shock and burn edema 78
8 Fluid resuscitation and early management 88
9 Evaluation of the burn wound management decisions 101
10 Wound care 109
11 Treatment of infection in burns 120
12 Operative wound management 170
13 Anesthesia for burned patients 183
14 The skin bank 207
15 Alternative wound coverings 212
16 The pathophysiology of inhalation injury 221
17 Diagnosis and treatment of inhalation injury 232
18 Respiratory care 242
19 The systemic inflammatory response syndrome 257
20 Metabolic support of the burned patient 271
21 The hepatic response to a thermal injury 288
22 Effects of burn injury on bone and mineral metabolism 300
23 Vitamin and trace element homeostasis following burn injury 306
24 Hypophosphatemia 309
25 The immunological response and strategies for intervention 316
26a Hematologic, hematopoietic, and acute phase response 331
26b Significance of the adrenal and sympathetic response to burn injury 347
27 Modulation of the hypermetabolic response after burn 363
28 Etiology and prevention of multisystem organ failure 382
29 Renal failure in burn patients 393
30 Critical care in the severely burned: organ support and management of complications 399
31 Burn nursing 421
32 Special considerations of age: the pediatric burned patient 427
33 Care of geriatric patients 439
34 Surgical management of complications of burn injury 442
35a Electrical injuries 455
35b Electrical injury: reconstructive problems 461
36 Cold-induced injury: frostbite 470
37 Chemical burns 475
38 Radiation injuries, vesicant burns and mass casualties 481
39 Exfoliative and necrotizing diseases of the skin 492
40 The burn problem: a pathologist's perspective 503
41 Pathophysiology of the burn wound 514
42 Wound healing 523
43 Molecular and cellular basis of hypertrophic scarring 536
44 Pathophysiology of the burn scar 544
45 Comprehensive rehabilitation of the burn patient 563
46 Musculoskeletal changes secondary to thermal burns 593
47 Prolonged hypermetabolic response over time, the use of anabolic agents and exercise, and longitudinal evaluation of the burned child 611
48 Overview of burn reconstruction 620
49 Reconstruction of the burned hand 628
50 Reconstruction of the head and neck 656
51 Correction of burn alopecia 690
52 Management of contractual deformities involving the shoulder, elbow, hip and knee joints in burned patients 695
53 Reconstruction of the trunk and genitalia 707
54 Management of burn injuries of the perineum 711
55 Foot burns and their complications 721
56 The ethical dimension of burn care 729
57a Functional sequelae and disability assessment 734
57b Cost-containment and outcome measures 740
58 Management of pain and other discomforts in burned patients 747
59 Psychiatric disorders associated with burn injury 766
60 Abuse, neglect and fire setting: when burn injury involves reporting to a safety officer 774
61 Psychosocial recovery and reintegration of patients with burn injuries 783
Index 799
Using an integrated, "team" approach, leading authority David N. Herndon, MD, FACS explains how to meet the clinical, physical, psychological, and social needs of every burn patient – and thus achieve optimal recovery and rehabilitation. The 3rd Edition of this definitive reference covers all of the latest advances in the treatment of burns¡¦features new a full-color layout with new color illustrations and clinical photographs.
New to this Edition
Uses color illustrations and clinical photographs throughout for the first time—incorporating the illustrative strengths of Barret & Herndon's Color Atlas of Burn Care to provide you with a single source of definitive guidance on diagnosis and management.
Presents new chapters on barotrauma and inhalation injury • the tissue bank • the role of exercise • and the use of dermal templates and burn scar resurfacing.
Offers fresh perspectives from more than 50% new authors