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D4 Burns

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0:00taking a look at Burns Burns are going

0:02to have two different types of

0:04classifications Burns do fall under our

0:09uh emergencies or common emergencies

0:13and in their classifications not only

0:16are they classified by their location

0:19they're also classified by the body

0:22surface that is affected

0:24and then they're put into another

0:26classification of a first degree second

0:28degree or third degree type burn

0:32with Burns these can be electrical they

0:35can be chemical or they can be heat

0:37related

0:39how to treat a patient with a burn we're

0:41going to remove the patient from The

0:43Source making sure that we're protecting

0:45ourselves as well

0:47if you can flush that site with cold

0:50water

0:51if this is a patient that is has been in

0:56an accident and perhaps they're burning

0:57within their clothes we're not going to

1:00remove their clothing because we don't

1:02want to put them at risk of removing

1:04their clothing and also removing some of

1:06the burnt skin so what we can do is

1:08assist in monitoring the patient

1:10monitoring their Vital Signs observing

1:13their reactions and the rule of nines

1:16which we will talk about in the next

1:18slide will then be applied

1:21and classifications for our Burns we

1:23have the first degree second degree

1:25third degree of course third degree is

1:27going to be your most severe

1:30first degree has to do with the first

1:32layer of tissue that's going to be that

1:34epidermis very very top layer of tissue

1:37think sunburns that's first degree burn

1:42second degree takes us deeper into uh

1:45the body this is going to be the level

1:47of the dermis

1:49inside the germ as we can expect to see

1:52some blistering occur if we get to that

1:53second level for burns

1:57and then we have third degree and with

1:59third degree it involves muscle and

2:02possibly bone this could be burned all

2:05the way down to the past the fat tissue

2:08to the Bone

2:10it has a look of being dry and what we

2:14call charred here are the rule of nines

2:17and notice here when we're classifying

2:20how much of an area a patient was burned

2:22we would use the rule of Dimes

2:24everything in the body actually adds up

2:27to the number nine so with the head you

2:29actually have four and a half in the

2:31front and a 4.5 in the back if you were

2:34to add those two numbers together the

2:36entire head equates for the number nine

2:38or nine percent

2:41we can do the same thing with each leg

2:44each leg is really only worth 4.5 on

2:47each side so 4.5 on the front 4.5 on the

2:51back if we were declaring the level that

2:54someone was burned we could say if it

2:56was just the leg we could say they were

2:57burned over nine percent of their body

3:00and we're just um

3:02discussing really the patient's leg

3:04front and back

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