Case History 3: Severe Burn InjuryChief Complaint:8-year-old girl admitted for severe second- and third-degree burns following her rescue from a burning house.History:The 8-year-old white female, was transported by ambulance to the emergency room after being rescued from her burning house. She was asleep at night when a spark from the family fireplace started a fire, leaving her trapped in her bedroom. By the time the fire rescue squad arrived, she had suffered severe burns and excessive smoke inhalation.In the emergency room, the patient was unconscious. She had second-degree burns over 5% of her body and third-degree burns over 15% of her body -- both covering her thoracic and abdominal regions and her entire right arm. Her vital signs were quite unstable: blood pressure = 55 / 35; heart rate = 210 beats / min.; and respiratory rate = 40 breaths / min; temperature 101.5 degrees Farhenheight. She was quickly deteriorating from circulatory failure. Two IVs were inserted and fluids were administered through each. Her vital signs stabilized and she was
CLINICAL CASE STUDY: BURN VICTIM CASE STUDY2Introduction/overviewAngela Creighton an 8-year-old girl admitted for severe second- and third degree burns following her rescue from a burning house. She had second degree burns over 5% of her body and third-degree burns 15% of her body. While she was transported to the hospital her vital signswere quite unstable; blood pressure= 55/35, Heart rate= 210 beats/min, Respiratory rate= 40 breaths/min. Her condition was deteriorating from circulatory failure. The nurse inserted two IVsand fluids which stabilized her vital signs. The patient, Angela, was then transported to the pediatric intensive care unit. As she regained consciousness the following morning, she only complained of minor pain over her trunk region. Several procedures and applications were applied to Angela’s burns such as broad spectrum, topical antibiotics and a plastic epidermal graft. Due to broad spectrum antibiotics, Angela developed a systemic staphylococcal infection which resulted in a change in her medication. As her condition progressed her doctors instructed her to be on bed rest. Her bed position had to be changed every two hours to prevent the formation of decubitus ulcers (i.e. bed sores). During her 3-week recovery period she lost 9 pounds, despite of being fed through a nasogastric tube of 5,000 calories per day. After 9 weeks, sheets of cultured epidermal cells were grafted to her regenerating dermal which improved her condition. By the 15th week of her recovery, her epidermal graft was completed and she regainedfull recovery she was no longer on antibiotics however she was instructed to attend physical and occupational therapy at home.