This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 39 Burns 2 Learning Objectives • Describe the incidence, patterns, and sources of burn injury. • Describe the pathophysiology of local and systemic responses to burn injury. • Classify burn injury according to depth, extent, and severity based on established standards. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Discuss the pathophysiology of burn shock as a basis for key signs and symptoms. • Outline the physical examination of the burned patient. • Describe the prehospital management of the patient who has sustained a burn injury. 4 Learning Objectives • Discuss pathophysiology as a basis for key signs, symptoms, and management of the patient with an inhalation injury. • Outline the general assessment and management of the patient who has a chemical injury. • Describe specific complications and management techniques for selected chemical injuries. 5 Learning Objectives • Describe the physiological effects of electrical injuries as they relate to each body system based on an understanding of key principles of electricity. • Outline assessment and management of the patient with electrical injury. • Describe the distinguishing features of radiation injury and considerations in the prehospital management of these patients. 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Incidence and Patterns of Burn Injury • Burns are devastating form of trauma – Associated with • • • • High mortality rates Lengthy rehabilitation Cosmetic disfigurement Permanent physical disabilities – Each year, more than 2 million Americans seek medical attention for burns • Of these, 40,000 persons are hospitalized and about 4,000 die as result of thermal injury or burn‐related infection 7 Incidence and Patterns of Burn Injury • .