![]() ![]() Tetanus: Burn sites are specifically susceptible to tetanus. ![]() Wound progression: Swelling and decreased blood flow to the affected tissue at burn sites can result in partial-thickness burns developing into full-thickness burns.Additionally, hypothermia is part of the "trauma triad of death" which, along with lactic acidosis and coagulopathy, significantly increases mortality rates in patients with severe trauma. When large areas of the skin are burned, the risk of hypovolemia (decreased blood volume) rises substantially and can send the patient into shock. Hypovolemic and Hypothermic Shock: Other key functions of the skin are to regulate fluid loss due to evaporation and regulate body heat.To reduce the risk from the resulting edema, an escharotomy will be performed, making a surgical incision through the thick eschar down to the subcutaneous tissue. These are particularly problematic because when relatively pliable skin is replaced by dry, tough eschar it can affect circulation to the distal area and result in compartment syndrome. Circumferential burns: In cases where a full thickness burn affects the entire circumference of a digit, extremity, or even the torso, this is called a circumferential burn.In addition, eschar makes it more difficult for antibodies and antibiotics to reach the wound site. With severe burns, hard, avascular eschar forms, providing an environment prone to microbial growth. ![]() However, this physical barrier is broken with partial- or full-thickness burn wounds.
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