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Lund And Browder Chart
The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund, Senior Surgeon at Boston City Hospital, and Dr. Newton Browder, based on their experiences in treating over 300 burn victims injured at the Cocoanut Grove fire in Boston in 1942. Unlike the Wallace rule of nines, the Lund and Browder chart takes into consideration of age of the person, with decreasing percentage BSA for the head and increasing percentage BSA for the legs as the child ages, making it more useful in pediatric burns. See also * Baux score The Baux score is a system used to predict the chance of mortality due to burns. The score is an index which takes into account the correlative and causal relationship between mortality and factors including advancing age, burn size, the presence ... References Skin conditions resulting from physical factors Medical emergencies Injuries {{Treatment-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cocoanut Grove Fire
The Cocoanut Grove fire was a nightclub fire which took place in Boston, Massachusetts, United States, on November 28, 1942, and resulted in the deaths of 492 people. It is the deadliest nightclub fire in U.S. history, and the second-deadliest single-building fire (after the Iroquois Theatre fire). The Cocoanut Grove was one of Boston's most popular nightspots, attracting many celebrity visitors. It was owned by Barnet "Barney" Welansky, who was closely connected to the Mafia and to Mayor Maurice J. Tobin. Fire regulations had been flouted: some exit-doors had been locked to prevent unauthorized entry, and the elaborate palm tree décor contained flammable materials. The air-conditioning used flammable gas due to wartime shortage of freon. During the first Thanksgiving weekend since the U.S. had entered World War II the Grove was filled to more than twice its legal capacity. The fire was initiated by an electrical short and fueled by methyl chloride in the air conditioning uni ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Burn
A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur mainly in the home or the workplace. In the home, risks are associated with domestic kitchens, including stoves, flames, and hot liquids. In the workplace, risks are associated with fire and chemical and electric burns. Alcoholism and smoking are other risk factors. Burns can also occur as a result of self-harm or violence between people (assault). Burns that affect only the superficial skin layers are known as superficial or first-degree burns. They appear red without blisters and pain typically lasts around three days. When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn. Blisters are frequently present and they are often very painful. Healing can require up to eight weeks and scarri ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Total Body Surface Area
Total body surface area (TBSA) is an assessment of injury to or disease of the skin, such as burns or psoriasis. In adults, the Wallace rule of nines can be used to determine the total percentage of area burned for each major section of the body. In burn cases that involve partial body areas, or when dermatologists are evaluating the Psoriasis Area and Severity Index (PASI) score, the patient's palm can serve a reference point roughly equivalent to 1% of the body surface area. For children and infants, the Lund and Browder chart is used to assess the burned body surface area. Different percentages are used because the ratio In mathematics, a ratio shows how many times one number contains another. For example, if there are eight oranges and six lemons in a bowl of fruit, then the ratio of oranges to lemons is eight to six (that is, 8:6, which is equivalent to the ... of the combined surface area of the head and neck to the surface area of the limbs is typically larger in c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Boston City Hospital
The Boston City Hospital (1864–1996), in Boston, Massachusetts, was a public hospital, located in the South End. It was "intended for the use and comfort of poor patients, to whom medical care will be provided at the expense of the city, and ... to provide accommodations and medical treatment to others, who do not wish to be regarded as dependent on public charity."Boston Directory (1864) In 1996, it merged with the Boston University Medical Center Hospital to form the Boston Medical Center. This building is currently under study for Boston Landmark status by the Boston Landmarks Commission. History In the mid-19th century, "the hospital was suggested ... by Elisha Goodnow, who, by his will, dated July 12, 1849, gave property to the city valued at $25,000, for establishment of a free city hospital in Wards Eleven or Twelve." Architect Gridley James Fox Bryant designed the first hospital, built 1861–1864 on Harrison Avenue in the South End. It was renovated in 1875 and aga ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Wallace Rule Of Nines
The Wallace rule of nines is a tool used in pre-hospital and emergency medicine to estimate the total body surface area (BSA) affected by a burn. In addition to determining burn severity, the measurement of burn surface area is important for estimating patients' fluid requirements and determining hospital admission criteria. The rule of nines was devised by Pulaski and Tennison in 1947, and published by Alexander Burns Wallace in 1951. To estimate the body surface area of a burn, the rule of nines assigns BSA values to each major body part: This allows the emergency medical provider to obtain a quick estimate of how much body surface area is burned. For example, if a patient's entire back (18%) and entire left leg (18%) are burned, about 36% of the patient's BSA is affected. The BSAs assigned to each body part refer to the entire body part. So, for example, if half of a patient's left leg were burned, it would be assigned a BSA value of 9% (half the total surface area of the leg) ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Baux Score
The Baux score is a system used to predict the chance of mortality due to burns. The score is an index which takes into account the correlative and causal relationship between mortality and factors including advancing age, burn size, the presence of inhalational injury. Studies have shown that the Baux score is highly correlative with length of stay in hospital due to burns and final outcome. Methods Original method The original Baux score was the addition of two factors, the first being the total body surface area affected by burning (usually estimated using the Wallace rule of nines, or calculated using a Lund and Browder chart) and the second being the age of the patient. The score is expressed as: :\text = \text + \text The score is a comparative indicator of burn severity, with a score over 140 considered as being unsurvivable, depending on the available treatment resources. Modified method Research demonstrated that with improvements in medical care rendered the original ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Skin Conditions Resulting From Physical Factors
Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different developmental origin, structure and chemical composition. The adjective cutaneous means "of the skin" (from Latin ''cutis'' 'skin'). In mammals, the skin is an organ of the integumentary system made up of multiple layers of ectodermal tissue and guards the underlying muscles, bones, ligaments, and internal organs. Skin of a different nature exists in amphibians, reptiles, and birds. Skin (including cutaneous and subcutaneous tissues) plays crucial roles in formation, structure, and function of extraskeletal apparatus such as horns of bovids (e.g., cattle) and rhinos, cervids' antlers, giraffids' ossicones, armadillos' osteoderm, and os penis/os clitoris. All mammals have some hair on their skin, even marine mammals like whales, dolphins, a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Emergencies
A medical emergency is an acute injury or illness that poses an immediate risk to a person's life or long-term health, sometimes referred to as a situation risking "life or limb". These emergencies may require assistance from another, qualified person, as some of these emergencies, such as cardiovascular (heart), respiratory, and gastrointestinal cannot be dealt with by the victim themselves.AAOS 10th Edition Orange Book Dependent on the severity of the emergency, and the quality of any treatment given, it may require the involvement of multiple levels of care, from first aiders through emergency medical technicians, paramedics, emergency physicians and anesthesiologists. Any response to an emergency medical situation will depend strongly on the situation, the patient involved, and availability of resources to help them. It will also vary depending on whether the emergency occurs whilst in hospital under medical care, or outside medical care (for instance, in the street or alone ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
