Thread by @MJGriksaitis

Prof. Bettina Vom Dessauer now talks about the #burns patient as a critically ill patient with systemic problems.

#PedsICU #WFPICCS20

Outcomes in #burns patient associated with:
- early admission to hospital
- care in a specialised burns unit
- control of infections
- early nutrition

These children are often healthy before the injury and this results in the whole homeostasis being altered

#PedsICU #WFPICCS20

The pathophysiology of #burns patients is multi systemic and occur at a cellular level

What we see clinically is distributive shock.

#PedsICU #WFPICCS20 #physiology

The aim of #burns management is to repair the wound but also to control the inflammatory response

#PedsICU #WFPICCS20

Interesting: vitamin C has been shown to stop the negative pathophysiological process towards the lipid peroxidation

This reduces oedema formation and the complications associated with this!

#WFPICCS20 #PedsICU #burns

#burns children are hypercatabolic and we need to remember this when managing them on the #PedsICU - this means a focus on #nutrition is key

Research in other therapies is ongoing

#WFPICCS20

Monitoring #nutrition in #burns patients is important and can be done with usual biochemical parameters and measurement of micro nutrition...

BUT.... #POCUS to the rescue... quadriceps muscle ultrasound shows any wasting (associated with worse outcomes!)

#WFPICCS20 #PedsICU