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Dr. Hammad Haider expansively touches all aspects of Management of Major Trauma at sqadia.com. Primarily, burns such as thermal and chemical burns, inhalational burns, electrical burns and cold burn injury are explained. Then shock also comes under debate including neurogenic shock, anaphylactic shock, and septic shock. The multiple organ failure is also discussed. Lastly, tetanus, fat embolism syndrome and crush syndrome are pursued.
Thermal and chemical burns are discussed comprehensively in this section. In thermal burns, signiﬁcant ﬂuid shifts cause resultant shock. Chemical Burns are result of exposure to strong alkalis and acids. Diagnosis depends on history, chemical involved and its concentration. Recognition can be made on the basis of color of skin which is stained black, yellow, or brown based on the type of chemical used.
Inhalation of super-heated gases and toxic smoke causes inhalational burns which in turns causes airway obstruction. Next is the elucidation of depths of burns. Recognition of inhalational burns is made by taking different measures. Subsequently, management procedures are enlightened in which information regarding airway securement, high-ﬂow oxygen administration, wound care, and indications for transfer is delineated.
Electrical and Cold Burn Injury
Electrical burns occur due to contact between electrical source and earth. In order to manage the electrical burns secure the airway, protect the cervical spine, avoid rescuer injury. Moving onward, there are three forms of cold injury burns namely frostnip, frostbite, and non-freezing injury. Then orthopaedic surgeon tells that how to manage the hypothermia, mild and moderate hypothermia, severe hypothermia and hypothermic cardiac arrest.
In this section, shock is discussed. Neurogenic shock, anaphylactic shock, and septic shock are responsible for reduced systemic vascular resistance. Diagnosis of shock is carried out by measuring and observing various signs and symptoms. Then advanced monitoring systems is pursued. Management of shock is also considered in this section along with the treatment aspect.
Multiple Organ Failure
Multiple organ failure or dysfunction syndrome (MODS) is the clinical appearance of a seemingly poorly controlled severe systemic inﬂammatory reaction. Dr. Hammad Haider explains multiple organ failure in detail by continuing the discussion on its pathogenesis, organ involvement in MODS, and its management. Moreover, tetanus is highlighted in this section along with fat embolism syndrome and crush syndrome.