1. Escharotomy & Fasciotomy… Bradley J. Phillips, MD UNM Burn Center Adults & Pediatrics from tragedy… hope! Burn Symposium STATION 5

2. Depth of burn The depth of a burn determines its treatment and how long it takes to heal. For this reason, it is important to be able to assess the depth as:  Superficial  Partial thickness Superficial partial thickness Deep partial thickness  Full thickness

3. Circumferential full thickness burn Typical position of hand in full thickness burns with metacarpophalangeal joints extended and interphalangeal joints flexed Black, charred skin

4. Burn depth…

5. Anatomy… Arm… Compartments Leg… Compartments Live Description…

6. Some things to remember… –Invasive Procedure… –Pain Control –Topical Antibiotics –Dressings: keep the wounds clean & dry …Tetanus Shot!!!

7. Escharotomy…

8. Escharotomy

10. Fasciotomy…

12. Questions… one child burned, is one child too many! Bradley J. Phillips, MD UNM Burn Center Adults & Pediatrics from tragedy… hope!