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The Surgical and Medical Support of Burn Patients

Desmono A. Kernahan, MD
JAMA. 1982;248(9):1112. doi:10.1001/jama.1982.03330090082046.
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This compact, pocket-sized manual covers the procedures and treatment methods used at the Shriner's Burns Institute, Cincinnati, and carries with it the reputation of one of the most sophisticated burn treatment centers in the country. The author is the director of the institute. Clearly, it is meant to be of use to residents, nurses, burn technicians, occupational and physical therapists, dieticians, and medical students, and it would appear to achieve this objective admirably.

If there is any aspect of burn treatment that is not covered succinctly but in sufficient detail to form a useful and practical guide to the problem, it is difficult to detect. Everything from initial fluid management, choice and indications of topical and systemic antibiotics, respiratory management, and nutrition, to debridement and closure of the burn wound, either temporarily or permanently, is covered. The fine line between meaningful and meaningless ritual in the operating room, dressing room,


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