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ERASMUS - Burns Medicine - CERA0P0032

Title:	ERASMUS - Popáleninová medicína
Guaranteed by:	Department of Burns Medicine 3FM CU and UHKV (12-POP)
Faculty:	Third Faculty of Medicine
Actual:	from 2013 to 2013
Semester:	both
Points:	1
E-Credits:	1
Examination process:
Hours per week, examination:	0/15, C(+Ex) [HT]
Extent per academic year:	15 [hours]
Capacity:	winter:unknown / unknown (unknown) summer:unknown / unknown (unknown)
Min. number of students:	unlimited
4EU+:	no
Virtual mobility / capacity:	no
Key competences:
State of the course:	taught
Language:	English
Teaching methods:	full-time
Teaching methods:	full-time
Level:
Note:	you can enroll for the course in winter and in summer semester

Guarantor:	MUDr. Ludomír Brož

Examination dates Schedule

Annotation -

Last update: Mgr. Marek Ploc (14.09.2018)

Students learn the basic difference between the extensive (major) and not extensive (minor) burns and all the factors important for estimating severity of burn injury (early and late prognosis). There is printed out significance of the prehospital care (transport, securing ventilation and oxygenation, analgesia and sedation, fluid replacement, urgent procedures). There are explained principles of burn wound care (indications and methods of conservative treatment, indications and methods of surgical procedures). There are indicated peculiarities of electricalinjuries(prognosis often dubious) - high voltage: resuscitation,cardiac complications,renal complications,neurologic complications,contacts and pathway of current - low voltage: risks related to contact - electrical arc: depth of burn wound,surgical treatment,late results. Specific features of chemical (caustic) injuries and intoxication. Cold injuries:local (post bite),risks of general hypothermia. Paediatric burns require different approach:in extimation prognosis(survival)in longtherm outcome(quality of life). Particularities of reconstructive surgery in burn scar deformities: - urgent procedures - surgery following physiotherapy (maturation of scars). Students learn to comprehend psychic derangement starting with the mechanism of injury and changing according to psychological care of burn team and of family background.

Aim of the course -

Last update: Mgr. Marek Ploc (14.09.2018)

Students get acquainted with the interdisciplinary approach to Burn Medicine, where the coordinating member of the burn team is the burn surgeon qualified in general surgery and specialized in Burn Medicine

Literature -

Last update: Mgr. Marek Ploc (14.09.2018)

Herndon DN. Total Burn Care, 4th edition. W.B.Saunders, 2012

Teaching methods -

Last update: Mgr. Marek Ploc (14.09.2018)

Seminars, lectures, practical training

Requirements to the exam -

Last update: Mgr. Marek Ploc (14.09.2018)

80 % attendance in training. If not accomplished, there is an alternative of training to individual agreement with the teacher.

Syllabus -

Last update: Mgr. Marek Ploc (14.09.2018)

1.Essential difference between extensive and not extensive burn injury. Estimation of factors determining, early outcome, late outcome

2.Prehospital management, transportation, emergency care : - airway issues, - carbon monoxide intoxication, - release incisions (in deep circumferencial burn on neck), - fluid replacement, - relieve of pain + anxiety

3.Pathophysiology of burn shock : stress reaction, burn edema, hypovolemia, SIRS, MOFS

4.Burn wound care: - release incisions (extremity perfusion, chest expansion), change of dressings, topical antibacterial creams, temporary wound coverage: skin substitutes (biologic,synthetic) , removal of necrotic tissues: necrolysis, necrectomy, permanent wound closure: autografting, isografting, artificial skin (integra,dermagraft,alloderm)

5.Inhalation Injury: - pathophysiology, diagnosis: upper airways, lower airways , treatment: endotracheal intubation, tracheostomy, complications (early, late)

6.Electrical injury: - pathophysiology (electrical field - electroporation + Joule effect, voltage), diagnosis

7.Cold-induced injury: frostbite: - pathophysiology, classification, treatment

8.Chemical injury: - mechanisms of action, chemical classes

9. Hypertrophic scars + keloids: - characteristics, evaluation, compression therapy, steroids (Triamcinolone acetonide)

10.Reconstruction: - early (urgent) - periorbital region, perioral region + neck , late (after scar maturation)

11.Child neglect, child abuse, Münchhausen syndrome by proxy

12.Pain response, psychiatric disorders

Entry requirements -

Last update: Mgr. Marek Ploc (14.09.2018)

Propedeutics in Surgery