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A burn center, burn unit, or burns unit is a hospital specializing in the treatment of burns. [1] [2] Burn centers are often used for the treatment and recovery of patients with more severe burns.
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The severity of a burn, and therefore whether a referral will be made after the patient is treated and stabilized, differs depending upon many factors, among them: the age of the victim (burns to infants and toddlers or to those over age 65 are generally more serious, particularly if the face, head, respiratory system, chest, abdomen, groin, or extremities are burned; those who are not in these age groups can be more affected if they are or were already ill, injured, or immunocompromised), the total body surface area that is burned (the rule of nines), if proper treatment and referrals are delayed or the wrong treatments are given, if the burns are of the 2nd, 3rd, or 4th degree (the bigger and deeper, the worse it is), the source (if it was due to a chemical, or from a scald, or fire, or radiation, the treatment regimen has to be modified appropriately), or if skin grafting is not feasible and/or important organs are harmed.
A burn center needs a team approach for the management of critically burnt patients. Usually, the burns management team consists of a plastic surgeon, intensivist, chest physician, general surgeon, Anesthesiologist, Respiratory Therapist, pediatrician, nurses and technicians, microbiologist, psychiatrist, nutritionist, physiotherapist, and social worker. [3] [4] Early burn wound excision and immediate wound cover can improve the chances of survival in major burn cases.
First aid is the first and immediate assistance given to any person with either a minor or serious illness or injury, with care provided to preserve life, prevent the condition from worsening, or to promote recovery until medical services arrive. First aid is generally performed by someone with basic medical training. Mental health first aid is an extension of the concept of first aid to cover mental health, while psychological first aid is used as early treatment of people who are at risk for developing PTSD. Conflict first aid, focused on preservation and recovery of an individual's social or relationship well-being, is being piloted in Canada.
A respiratory therapist is a specialized healthcare practitioner trained in critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, cardiac and pulmonary disease. Respiratory therapists graduate from a college or university with a degree in respiratory therapy and have passed a national board certifying examination. The NBRC is responsible for credentialing as a CRT, or RRT,
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.
A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation. Most burns are due to heat from hot liquids, solids, or fire. Burns occur mainly in the home or the workplace. In the home, risks are associated with domestic kitchens, including stoves, flames, and hot liquids. In the workplace, risks are associated with fire and chemical and electric burns. Alcoholism and smoking are other risk factors. Burns can also occur as a result of self-harm or violence between people (assault).
A trauma center, or trauma centre, is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to an emergency department without the presence of specialized services to care for victims of major trauma.
Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes providing life support, invasive monitoring techniques, resuscitation, and end-of-life care. Doctors in this specialty are often called intensive care physicians, critical care physicians, or intensivists.
Battlefield medicine, also called field surgery and later combat casualty care, is the treatment of wounded combatants and non-combatants in or near an area of combat. Civilian medicine has been greatly advanced by procedures that were first developed to treat the wounds inflicted during combat. With the advent of advanced procedures and medical technology, even polytrauma can be survivable in modern wars. Battlefield medicine is a category of military medicine.
Cardiothoracic surgery is the field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart, lungs, and other pleural or mediastinal structures.
An urgent care center (UCC), also known as an urgent treatment centre (UTC) in the United Kingdom, is a type of walk-in clinic focused on the delivery of urgent ambulatory care in a dedicated medical facility outside of a traditional emergency department located within a hospital. Urgent care centers primarily treat injuries or illnesses requiring immediate care, but not serious enough to require an ED visit. In the United Kingdom, urgent treatment centres are provided by the National Health Service, which decided in 2019 that all areas of England should be served by a network of urgent treatment centres. In the United States, urgent care centers were first used in the 1970s and have since expanded to approximately 10,000 centers across the country.
The Walton Centre, formerly known as the Walton Centre for Neurology and Neurosurgery, is a major neurology hospital located in the suburb of Fazakerley in the city of Liverpool, England. It is one of several specialist hospitals located within the Liverpool City Region alongside Liverpool Heart and Chest Hospital, Alder Hey Children's Hospital, Liverpool Women's Hospital, Mersey Regional Burns and Plastic Surgery Unit and Clatterbridge Cancer Centre. The wards in the hospital are all named after pioneering neurosurgeons in the 20th and 21st century. It is managed by the Walton Centre NHS Foundation Trust.
Sunnybrook Health Sciences Centre (SHSC), commonly known as Sunnybrook Hospital or simply Sunnybrook, is an academic health science centre located in Toronto, Ontario, Canada. It is the largest trauma centre in Canada and the only accredited Level 1 trauma centre outside of the US. Sunnybrook is a teaching hospital fully affiliated with the University of Toronto. The hospital is home to Canada's largest veterans centre, in the Kilgour Wing and the George Hees, which cares for World War II and Korean War veterans.
A chest injury, also known as chest trauma, is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as direct, indirect, compression, contusion, deceleration, or blasts caused by motor vehicle collisions or penetrating mechanisms such as stabbings.
Hospital emergency codes are coded messages often announced over a public address system of a hospital to alert staff to various classes of on-site emergencies. The use of codes is intended to convey essential information quickly and with minimal misunderstanding to staff while preventing stress and panic among visitors to the hospital. Such codes are sometimes posted on placards throughout the hospital or are printed on employee identification badges for ready reference.
Adventist HealthCare Shady Grove Medical Center is a 266-licensed bed acute care facility located in Rockville, Maryland. Shady Grove Medical Center provides a range of health services to the community such as high-risk obstetrical care, cardiac and vascular care, oncology services, orthopedic care, surgical services and pediatric care. Opened in 1979 as Shady Grove Adventist Hospital, Shady Grove Medical Center operates as part of Adventist HealthCare, a health-care delivery system that includes hospitals, home health agencies and other health-care services. Adventist HealthCare is headquartered in Gaithersburg, Maryland.
Royal Papworth Hospital is a specialist heart and lung hospital, located on the Cambridge Biomedical Campus in Cambridgeshire, England. The Hospital is run by Royal Papworth Hospital NHS Foundation Trust.
Neurocritical care is a medical field that treats life-threatening diseases of the nervous system and identifies, prevents, and treats secondary brain injury.
St. John's Rehab, part of Sunnybrook Health Sciences Centre, is solely dedicated to specialized rehabilitation. As the site of Canada's only dedicated organ transplant rehabilitation program and Ontario's only dedicated burn rehabilitation program, the hospital develops individually customized inpatient and outpatient rehabilitation services.
St. Francis Hospital is a general medical and surgical hospital located in Columbus, Georgia, United States, and is accredited by the Joint Commission.
Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Trauma surgeons generally complete residency training in general surgery and often fellowship training in trauma or surgical critical care. The trauma surgeon is responsible for initially resuscitating and stabilizing and later evaluating and managing the patient. The attending trauma surgeon also leads the trauma team, which typically includes nurses and support staff, as well as resident physicians in teaching hospitals.
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