Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presencia de factores de riesgo
- eritema
- quemaduras secas y dolorosas
- quemaduras húmedas y dolorosas
- quemaduras secas e insensibles
- quemaduras que afectan el tejido subcutáneo, los tendones o los huesos
- celulitis
- córnea nublada
Factores de riesgo
- niños pequeños
- edad >60 años
- Sexo femenino (quemaduras térmicas)
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- hemograma completo
- perfil metabólico
- carboxihemoglobina
- gasometría arterial
- tinción con fluoresceína
- tomografía computarizada de la cabeza y la columna
- cultivo de la biopsia de la herida
- histología de la herida
Algoritmo de tratamiento
adecuado para atención ambulatoria
requiere atención hospitalaria
Colaboradores
Autores
Rob Sheridan, MD
Professor of Surgery
Harvard Medical School
Cambridge
MA
Divulgaciones
RS is an author of a number of references cited in this topic.
Revisores por pares
Ravi Ubriani, MD, FAAD
Assistant Professor of Clinical Dermatology
Columbia University
New York
NY
Divulgaciones
RU declares that he has no competing interests.
Chris Tedeschi, MD
Assistant Clinical Professor of Medicine
Department of Emergency Medicine
New York-Presbyterian Hospital
New York
NY
Divulgaciones
CT declares that he has no competing interests.
Chad M. Hivnor, Major, USAF, MC, FS
Chief
Outpatient & Pediatric Dermatology
59th Medical Wing/ SGOMD
Lackland Air Force Base
San Antonio
TX
Divulgaciones
CMH declares that he has no competing interests.
Dean D. Ad-El, MD
Chairman, Department of Plastic Surgery and Burn Unit
Rabin Medical Center - Beilinson Hospital
Sackler Faculty of Medicine
Tel-Aviv University
Director of Plastic Surgery Services
Schneider Children's Medical Center of Israel
Petach Tikvah
Israel
Declarações
DDAE participated as one of the moderators in a course in IMCAS, Paris in January 2009.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
American Burn Association. Advanced burn life support course: provider manual 2018 update. 2018 [internet publication].Texto completo
International Federation of Red Cross and Red Crescent Societies. International first aid, resuscitation, and education guidelines. 2020 [internet publication].Texto completo
American Burn Association, American College of Surgeons. Guidelines for the operation of burn centers. J Burn Care Res. 2007 Jan-Feb;28(1):134-41. Resumo
Cartotto R, Johnson LS, Savetamal A, et al. American Burn Association Clinical Practice Guidelines on burn shock resuscitation. J Burn Care Res. 2024 May 6;45(3):565-89.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Erupción en niños
- Necrólisis epidérmica tóxica (Síndrome de Stevens-Johnson)
- Dermatitis exfoliativa estafilocócica
Mais Diagnósticos diferenciaisDiretrizes
- ANZCOR guideline 9.1.3 - burns
- NSW burn transfer guidelines, 4th edition
Mais DiretrizesFolhetos informativos para os pacientes
Burns (minor)
Mais Folhetos informativos para os pacientes
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