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Burns to the Face, Trunk, and Extremities

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Surgery

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Abstract

A 25-year-old man (weight 70 kg) arrives to the emergency department an hour after sustaining burn injuries in a house fire. He is awake but appears confused and disoriented. He complains of a severe headache. At initial exam, his temperature is 101.6 °F, blood pressure is 90/74 mmHg, heart rate is 120/min, respiratory rate is 26/min, and oxygen saturation is 89 %. He has blistering, painful burns to the face with singed nasal hairs, and carbonaceous sputum. The burns on his chest and back are painless, circumferential, white, dry, and leathery and are insensate. The bilateral upper extremities are also burned with painful, swollen, mottled areas with blisters that appear to have open weeping surfaces. The remainder of his skin that is not burned has a cherry-red appearance. He also has sunken eyes, a dry tongue, and slow capillary refill.

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Suggested Reading

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Author information

Authors and Affiliations

  1. Plastic and Reconstructive Surgery, UCLA, 200 UCLA Medical Plaza, Los Angeles, CA, 90095, USA

    Arezou Tory Yaghoubian MD

  2. Department of Surgery, University of California, Irvine, 333 City Blvd West, Suite 1600, Route. 81, Orange, CA, 92868, USA

    Areg Grigorian MD

  3. Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson Street, Torrance, CA, 90509, USA

    Christian de Virgilio MD

  4. Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson Street, Box 42, Torrance, CA, 90509, USA

    Dennis Y. Kim MD

Authors
  1. Arezou Tory Yaghoubian MD
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  2. Areg Grigorian MD
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  3. Christian de Virgilio MD
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  4. Dennis Y. Kim MD
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Corresponding author

Correspondence to Arezou Tory Yaghoubian MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Christian de Virgilio

  2. General Surgery, Harbor-UCLA Medical Center, Torrance, California, USA

    Paul N. Frank

  3. Department of Surgery, University of California, Irvine, Orange, California, USA

    Areg Grigorian

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© 2015 Springer Science+Business Media New York

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Yaghoubian, A.T., Grigorian, A., de Virgilio, C., Kim, D.Y. (2015). Burns to the Face, Trunk, and Extremities. In: de Virgilio, C., Frank, P., Grigorian, A. (eds) Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1726-6_46

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  • DOI: https://doi.org/10.1007/978-1-4939-1726-6_46

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1725-9

  • Online ISBN: 978-1-4939-1726-6

  • eBook Packages: MedicineMedicine (R0)

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