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Review
. 2025 Oct 25;86(10):1-18.
doi: 10.12968/hmed.2019.0237. Epub 2025 Oct 22.

What You Need to Know About: Assessment of Burns and Initial Management

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Free article
Review

What You Need to Know About: Assessment of Burns and Initial Management

Omar Kiwan et al. Br J Hosp Med (Lond). .
Free article

Abstract

Burns are a significant public health concern, with thousands in the UK requiring treatment annually. Burn assessment and management are complex and require a systematic approach. This study aims to provide an in-depth review of how to evaluate and treat burns to enhance clinical decision-making and ultimately improve patient outcomes. This study explores key aspects of a burn assessment, including key points in the history, examination findings and the classification of the burn depth and total body surface area. It also highlights the Emergency Management of Severe Burn (EMSB) approach and its significance in managing burns, as well as different fluid resuscitation formulas such as Parkland and biological engineering technology (BET). Wound care strategies, indications for surgical and specialist management and additional measurements needed for special burns are also discussed.

Keywords: burns; chemical burns; electric burns; inhalation burns; plastic surgery.

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