Burns injury Part II: ICU Management of the burns injured patient
Summary
As the largest organ in the body, the skin is vitally important to maintaining homeostasis. Skin loss due to burn injury therefore gives rise to a host of systemic sequelae. In this module, we discuss the acute physiological disturbances that follow burn injury and require judicious organ support within the intensive care unit. We also consider common complications, which occur across multiple systems and timeframes of hours to years.
General Information
Enrolled trainees 505
Open 24.08.2023
Available for ESICM members
Student effort 2
Last Updated August 24, 2023
Intended Learning Outcomes
After studying this module on Burns injury Part II: ICU Management of the burns of injured patient you should be able to:
- Describe the principles of fluid management following burns injury.
- Describe the challenges and management of temperature control following burns injury
- Outline the metabolic changes following major burns injury and the interventions used to attenuate these responses.
- Describe the management of pain and sedation used for patients with burns injury in ICU.
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology.
- 1.6 Assesses and provides initial management of the patient with burns.
- 2.1 Obtains a history and performs an accurate clinical examination.
- 2.2 Undertakes timely and appropriate investigations.
- 2.6 Obtains and interprets results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions.
- 3.3 Recognises and manages the patient with circulatory failure.
- 4.2 Manages antimicrobial drug therapy
- 4.4 Uses fluids and vasoactive / inotropic drugs to support circulation.
- 4.9 Co-ordinates and provides nutritional assessment and support.
- 7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
- 7.2 Manages the assessment, prevention and treatment of pain and delirium
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