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#1
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06-27-2024, 10:33 PM
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3rd Degree Burns
Case of a patient with 3rd degree burns to his right hand from falling onto melted plastic. On the first photos you can see the plastic still attached to the patients skin. The melted plastic was removed and escharotomy was performed. Photos are showing healing phases the patient went through. He is still recovering but will likely have a good overall outcome. The palm of the hand comprises only one percent of the body surface area. Despite this, a burn of the hand can represent a serious short- or long-term disability. Evaluation of radial, ulnar, and palmar arch pulses should be undertaken by palpation or Doppler ultrasound at the time of initial evaluation and hourly thereafter. Changes in or loss of pulse indicate the need for escharotomy especially if hand or arm burns are circumferential. |