Burn shock

Shock is one of the most common causes of death as a result of burns . It develops for 12-48 hours. With large lesions and high severity this time can be extended to three days.

Causes of shock

Burn shock is usually a consequence of a decrease in the volume of circulating blood. The main causes of burn shock are very powerful painful effects on the central nervous system and the loss of a large volume of plasma as a result of extensive skin damage.

Features of burn shock

Burn shock has its own characteristics, which are expressed in the following:

1. The presence of a rather long phase of excitation, which is characterized by loss of orientation and inadequate perception of the situation, excessive talkativeness, motor activity.
2. The usual or slightly increased level of pressure caused by the prolonged release of adrenaline into the blood.
3. A large release of potassium in the blood, which causes kidney failure and disruption of the heart.
4. Congestion of blood and disruption of its circulation, as well as acceleration of thrombosis as a result of a huge amount of plasma.

First aid

Emergency care for burn shock consists in the recruitment of certain actions:

1. It is necessary to stop the effect of the damaging factor on the body: remove burning clothing, take it out of a smoky environment. If the burn has occurred as a result of exposure to chemical agents, then it is necessary to urgently dispose of the injured person from soaked things and rinse the affected surfaces under running water for a long time (approximately 10-15 minutes). During electroporation - to de-energize the person.
2. Conduct a diagnosis - check the presence of consciousness, pulse, breathing. If necessary, and small areas of burn damage, resuscitate with a closed heart massage and mouth-to-mouth breathing.
3. If possible, anesthesia with intravenous administration of drugs.
4. After providing first aid for a burn shock, it is recommended to cover the victim with a clean cloth or, if the affected area is small, with special burn bandages before the doctors arrive. This will reduce the flow of air and reduce pain.

Treatment of shock

Treatment for burn shock is initiated after the diagnosis of the area of ​​the lesion and its severity is already in the medical institution. Therapy may include such activities:

• anesthesia;
• if necessary, the normalization of respiration and gas exchange;
• restoration of water-electrolyte balance;
• decreased intoxication ;
• prevention of renal failure;
• restoration of blood circulation.