Page 247 - Critical Care Notes

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■ Calculate and monitor a Trauma Associated Severe Hemorrhage Score
(TASH Score) for Massive Transfusion: http://www.mdcalc.com/tash-score-
trauma-associated-severe-hemorrhage-for-massive-transfusion/
Complications
■ Hypermetabolism; occurs 24 to 48 hr after traumatic injury
■ Infection and sepsis; SIRS
■ Acute respiratory failure or ARDS
■ DVT; pulmonary or fat embolism
■ Acute renal failure
■ Compartment syndrome
■ Dilutional coagulopathy
■ MODS

Burns
Burns may be thermal, electrical, or chemical.

Type of Burn Extent of Burn Injury Description of Burn Injury
First-degree burn or • Epidermis destroyed • Pinkish-red or red, dry
superficial partial- • Usually not blistered
thickness burn • Blanching with pressure
• Little or no edema
• Tingling
• Painful
• Soothed by cooling
Second-degree burn: • Epidermis and upper • Very painful
superficial partial- layer of dermis • Red or pink
thickness destroyed • Blistered, edema
• Fluid exudate, “wet”
• Hair follicles intact
• Blanching with pressure
• Sensitive to cold air
Second-degree burn: • Injury to deeper
deep partial-thickness portions of dermis

MULTISYS