학술논문

Aktuelle Standards in der Verbrennungsmedizin: Akuttherapie, Rehabilitation und Rekonstruktion idealerweise aus einer Hand
Document Type
Original Paper
Source
Trauma und Berufskrankheit. December 2016 18(4):300-307
Subject
Verbrennungsmedizin
Präklinische Versorgung
Verbrennungschirurgie
Rehabilitation
Sekundäre Rekonstruktion
Burns center
Preclinical treatment
Burns surgery
Secondary reconstruction
Language
German
ISSN
1436-6274
1436-6282
Abstract
Thermal trauma can lead to life-threatening damage and permanent functional and aesthetic sequelae of injuries. The optimal therapy improves the prognosis for injured persons and can prevent significant long-term damage. With the optimal prognosis in mind, the multidisciplinary cooperation begins during the preclinical care, during the acute treatment in a center for severe burn injuries and in the subsequent rehabilitation therapy and reconstruction phase. This should be carried out according to the current standards in the treatment of burns. Continuous further development of these standards in recent years have involved all phases of burn treatment: whereas in the preclinical treatment the main emphasis is on maintaining temperature and volume substitution, the surgical treatment is characterized by innovations, such as permanent and temporary dermal replacement materials and enzymatic wound debridement. In the rehabilitation phase of severely burned patients, the importance of a multiprofessionally organized inpatient treatment is nowadays undisputed and should be carried out in close cooperation with reconstructive surgery teams, for a timely resolution of functional limitations. When the acute phase of burn injuries has been overcome the sequelae often remain in need of treatment for life. Specialized medical consultation is necessary during this phase for timely provision of adequate conservative and sometimes surgical therapy procedures to improve the prognosis.