Zoo-Narengi Road, Near Gita Mandir, Mathgharia, Guwahati, Assam 781020

98540 66647

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Burn Unit

There are five functions of the skin that make it so important.
These are:

  • Protection

  • Fluid balance

  • Thermo-regulation

  • Sensory organ

  • Produces vitamins

We have a Burn center section at GATE hospital, which focuses on the treatment of burns. We have specialized equipment, as well as staff who are particularly knowledgeable in the short-and long-term treatment of burns. We are equipped to handle chemical and electrical burns, as well as inhalation burns. Severe burns are best treated at burn unit, as are burns occurring to the young and old, as they have additional issues to consider during treatment. In addition, serious burns to the hands, feet, face, and genitals pose unique challenges that are best handled at our burn unit.

Burns are classified into five categories:-

  • Epidermal (Not included in TBSA%)

  • Superficial Dermal

  • Mid  Dermal

  • Deep Dermal

  • Full thickness


Burns dressings
The method of dressings we use at The Royal Children's Hospital involves a "closed" dressing technique, with the exception of burns to the face and perineum. We use this method for a number of reasons. The main reasons are for protection and absorption and for decreasing stress of both the patient and the family, Dressing changes can but may not necessarily be 'painful' however the emotional and psychological distress can be enormous. Because of this the number of dressings required should be kept to as few as possible.

The moistness, size, depth, and area of the burn needs to be taken into consideration for dressing selection. The aim of the burn dressing is to keep the wound clean and dry, and prevent infection.

Facial/respiratory burns

 

More people die in a fire from pulmonary insufficiency caused by the inhalation of heat and smoke, than they do from the direct burn injury, thus airway management is a priority. With the advent of new furnishing materials, we are seeing a more complex form of injury.

Inhalation injuries are uncommon in children, but are potentially more dangerous than in an adult because of ;

  • the diameter of the child's airway is smaller and more prone to obstruction by a given degree of oedema

  • the chest wall is soft and immature less respiratory reserve - respiratory failure from fatigue is more likely

  • greater metabolic demands, including oxygen consumption are compounded

  • the younger the child the greater the risk of respiratory distress, with increased mortality

  • greater fluid requirements for fluid resuscitation.