IV. Table of contents of teaching Structurally-logical chart of theme
Burns
Thermal
Chemical
Radioactive
Electrical
Superficial
Deep ІІІБ
st.;
ІV
st.
І
st. ; ІІ
st.; ІІІА
st.
Probably
autonomic heal over Autonomic
heal over impossibly
Methods
fro determination area 
Rules
of nine Rules
of palm By
Viliavin By
standard tables
By
Postnicov
Prognosis
Rules
of a hundred Franc’s
index 
Gravity
of a burn by the classification American Burned
Association
Large
burned
damages
Small
burned damages Mild
burned damages
Prognosis
is congenial 
Prognosis
is relative congenial
Prognosis
is ambiguous
The
treatment in any medical establishing 
The
treatment in the medical establishing
having an experience of treatment of burns The
treatment only in the burned departments
Burned
diseases
Burned
shock
Stage
of a septicotoxemia 
Stage
of a toxemia
Stage
of a recovery
Ожоговая
болезнь 
Stages
Burned
shock Toxemia
Septicotoxemia
Recovery
1-3
days
3
- 14 days
14
– 21
days Last
1-1,5 months
І
st.
– light
burned
shock ІІІ
st. – heavy burned shock Purulent
complication in the area of the burned surface
ІІ
st. – average gravity burned
shock IV
st. – very heavy burned
shock
Treatment Burned
shock Cardiopulmonary
reanimation, infusion therapy, oxygentherapy, analgesics, blockade
by novocaine, antigistamin drugs, corticosteroids, cardiac
glycosides, inhibitors of proteases, aminotherapy
Toxemia
Intra-
and extractorporeal э
methods of disintoxication Correction
of metathetical
processes Prevention
of skeptical complications
Septicotoxemia
High-energy
protein diet, infusion therapy, anabolic hormones , therapy by
vitamins, corticosteroids Antibacterial
therapy, active and passive immunotherapy, nonspecific immunotherapy
Recovery Restoration
reconstructive
operations
Local
treatment Closed
method Open
method Half-open
method Combined
method
Under
bandage Isolated
wards, aerotherapeutics plants,
antibacterial
sphere
Operative
treatment necrectomy,
necrotomy, autodermal plastic, xenoplastic, blefhoplastic 
V. Reference basis of action
Algorithm of helping medical first to victims with thermal burns
1 stage is stopping of action of thermal agent
2 stage is evacuation from the reserved apartments and providing of access of fresh air
3 stage are the cardiopulmonary reanimation (in the case of burn of face and respiratory tracts providing them permeability)
4 stage is removal of clothes from the damaged areas of body
5 stage is anaesthetizing, including by the local cooling
6 stage is imposition of aseptic bandage
7 stage is shrouding of patient, warm alkaline drink (at the burns of extremities|limbs| is transporting|transport| immobilization)
8 stage is transporting of victim in medical establishment
Algorithm of determination of violation of algesthesia for differential diagnostics of superficial and deep burns
|
№ |
Task |
Indications |
Notes |
|
1
2 |
To define the degree of violation of algesthesia of an burned surface by a injection needle
To define the degree of violation of algesthesia of an burned surface by a spirit test |
1. To take a sterile injection needle 2. To prick the burned surface by a needle 3. To define areas, where sickliness is absented and registered
1. To take the sterile wadding marble moistened in a 96% alcohol. 2. To touch to the different areas of burn by this marble. 3. To define the areas of presence and absence of sickliness |
Both tests are used on the areas of burn, deprived epidermis (bottom of epidermal bubble) The presence of a sickliness indicates on a superficial burn, absence on deep |
Algorithm of implementation of a treatment of a burned surface
A primary treatment is conducted in the case of burns of any degree, except for victims with the signs of burned shock (conduct this manipulation them after liquidation of the shock state).
Anaesthetizing (mainly is common anaesthetizing).
Careful, minimum traumatic, sparing cleaning of a burned surface from dir, free shreds of epidermis, foreign bodies, by the serviette saturated with Novocain.
Wash an burned surface by solutions of antiseptics.
Large tense bubbles outside process by antiseptic and cut near foundation, evacuate the exudate of bubbles.
Subsequent treatment is depending on a select method (opened or closed).