Bum rounds at san francisco general hospital

The major burn victim can be a tremendous medical and psychosocial challenge. Adequate care requires a team approach to initiate acute management, prevent and treat complications, and rehabilitate the patient to a functional status. The basic guidelines for these areas are outlined, along with a means of auditing burn care. This review will attempt to highlight the current thought on the pathophysiology, management, and prevention of burns, and will describe the procedures we use in our hospital. A number of controversies still exist among experts in burn care, and we will try neither to avoid nor to solve these controversies.