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presence
admission burns not
complete of burns incomplete
head and to the no prior requiring
medical beyond the medical
neck burn. inpatient burns hospital
records head and records
burn unit admission
neck
Methodology
patients admitted
Flame 5938
n = 136; 66.3%
older than 55 years n = 69; 34%
superficial partial
accidental
scald burnsthickness
exposure nn == 32;
166; 80%
196;15.6%
96%
35 to 55 years old
patients with head and neck n
2547 = 50; 24%
deep
Most partial thickness
(nAssault
= 136;
chemical 66%) were male with a meannnage
burns
burns n===20;
26; 12%
of9.7%
5; 40 years
2%
younger than 15 years n = 47; 23%
full
chemicalthickness
contact exposure
burns
patients that met the nn==12;
205 n13, 6%
= 35.8%
15 to 34 years old n = 39; 19%
inclusion
electrical burnscriteria n = 5; 2.4%
TBSA is a primary determinant of
Discussion severity and risk of mortality
When a patient sustains flame
injury to the head and neck,
health care providers should
carefully assess inhalation
injury
Intubation criteria are:
1) respiratory failure
Superficial head(hypoxic
and neckor burns
hypercarbic)
have
If there is2)suspicion
carbon
for serious
monoxide poisoning,
clinical
airway compromise, signs
thenofeye
A fluorescein erythema and pain,
examination is
3) burn larger than 20% TBSA Patients
(intubated should
for painbe examined
intubationwithout
for evidence
airway
completed of blistering.
to assess for corneal
control) for carbon monoxide toxicity
protection should
damage. be
4) deep partial- and full-thickness burns involving the
performed.
entire face and neck
5) stridor or hoarseness at examination.