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weight
Covers the entire body
elastic tissue
reticular fibers
Layers of the Dermis
The two layers of the dermis are the
papillary and reticular layers.
The upper, papillary layer contains a thin
arrangement of collagen fibers.
The lower, reticular layer is thicker and
made of thick collagen fibers that are
arranged parallel to the surface of the skin.
3) THE HYPODERMIS:-
The hypodermis is composed of
(Palm of Pt = 1%)
* The rule of nine is another method used by
many rescue teams and EDs. In this system,
the body is divided into groups equal to about
9% of BSA (for example, the head and neck
count as 9% of BSA), and the size of the bum
is estimated as a percentage. Because BSA
changes with age, a pediatric version of the
rule of nines must be used for children.
You can estimate the body surface area on an
adult that has been burned by using multiples
of 9.
An adult who has been burned, the percent of the
body involved can be calculated as follows:
Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9%
Each palm = 1%
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
BURN TRAUMA SCORE (BTS):-
The main determinants of mortality after burn
injury that can be measured on admission
include age, total burn size (% burn), and
inhalation injury (INHAL). Other variables,
measured during resuscitation, may provide
additional information about injury severity.
BTS = (Age of Pt. + TBSA + Co-morbid
factor)
COMPLICATIONS OF BURN:-
When skin is burned, it loses its ability to protect,