{"id":3178,"date":"2023-01-18T15:46:54","date_gmt":"2023-01-18T14:46:54","guid":{"rendered":"https:\/\/www.medespoir.ch\/blog\/?p=3178"},"modified":"2023-01-25T14:20:13","modified_gmt":"2023-01-25T13:20:13","slug":"examen-initial-d-un-grand-brule","status":"publish","type":"post","link":"https:\/\/www.medespoir.ch\/blog\/examen-initial-d-un-grand-brule\/","title":{"rendered":"Examen initial d&rsquo;un grand brul\u00e9"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Le premier examen d&rsquo;un grand brul\u00e9 a pour objectif de faire un bilan des l\u00e9sions, de poser les bases essentielles du pronostic. Cependant, si le brul\u00e9 est choqu\u00e9 lorsqu&rsquo;on est amen\u00e9 \u00e0 l&rsquo;examiner, il faut d&#8217;embl\u00e9e m\u00eame sans donn\u00e9es pr\u00e9cises, commencer la r\u00e9animation.<\/p>\n<p>En dehors de cette \u00e9ventualit\u00e9 l&rsquo;interrogatoire pr\u00e9cise les circonstances de l&rsquo;accident :<\/p>\n<ul>\n<li>Heure de la brulure et non heure du premier examen<\/li>\n<li>Agent causal : jet de flamme, explosion, moins graves que les brulures par liquides ;<\/li>\n<li>Le r\u00f4le des v\u00eatements n&rsquo;est pas n\u00e9gligeable : gravit\u00e9 du nylon, des robes flottantes, des v\u00eatements imbib\u00e9s d&rsquo;eau bouillante ;<\/li>\n<li>S&rsquo;il s&rsquo;agit d&rsquo;\u00e9pileptiques, de syringohy\u00e9liques, de tab\u00e9liques, de comateux insensibles, les brulures ont toutes les chances d&rsquo;\u00eatre profondes.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Les gestes th\u00e9rapeutiques pratiqu\u00e9s<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Le premier pensement<\/li>\n<li>Calmants administr\u00e9s<\/li>\n<\/ul>\n<p>Le bilan local doit etre fait :<\/p>\n<ul>\n<li>Dans une chambre d&rsquo;isolement tranquille<\/li>\n<li>D\u00e9shabillement et nettoyage \u00e0 l&rsquo;aide de l&rsquo;ammonium quaternaire.<\/li>\n<li>Le brul\u00e9 doit \u00eatre couch\u00e9 sur des al\u00e8ses st\u00e9riles. L&rsquo;\u00e9tendue de la brulure sera appr\u00e9ci\u00e9e en s&rsquo;aidant de \u00ab\u00a0la r\u00e8gle des 9\u00a0\u00bb de Wallace : 9% pour la t\u00eate, 9% pour chaque membre sup\u00e9rieur, 18% pour chaque face du tronc et chaque membre inf\u00e9rieur.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>La profondeur de la brulure est tr\u00e8s difficile \u00e0 pr\u00e9ciser :<\/p>\n<p>&#8211; cercles phlyct\u00e8ne est un deuxi\u00e8me degr\u00e9 \u00e9vident ; une peau ivoirine ou d\u00e9j\u00e0 chamois\u00e9e est un troisi\u00e8me degr\u00e9. Par contre, il y &lsquo;a toujours une juxtaposition et une intrication de brulures de degr\u00e9s diff\u00e9rents ;<\/p>\n<p>&#8211; On ne peut d&#8217;embl\u00e9e distinguer un deuxi\u00e8me degr\u00e9 superficiel d&rsquo;un deuxi\u00e8me degr\u00e9 profond; C&rsquo;est \u00e0 dire que le diagnostic exact de profondeur ne sera en g\u00e9n\u00e9ral fait qu&rsquo;au vu de l&rsquo;\u00e9volution locale vers le 10\u00e8me ou le 12 -\u00e8me jour.<\/p>\n<p>Le si\u00e8ge de certaines brulures leur conf\u00e8re un caract\u00e8re de gravit\u00e9 :<\/p>\n<ul>\n<li>Brulures de la face et du cou, des mains<\/li>\n<li>Des plis de flexion ;<\/li>\n<li>Du pourtour des orifices naturels ;<\/li>\n<li>Du p\u00e9rin\u00e9e ;<\/li>\n<li>Des muqueuses<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Le bilan g\u00e9n\u00e9ral pr\u00e9cise :<\/p>\n<ul>\n<li>Le degr\u00e9 de conscience ;<\/li>\n<li>L\u2019\u00e9tat cardio-vasculaire ;<\/li>\n<li>L&rsquo;\u00e9tat respiratoire du brul\u00e9<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Le bilan g\u00e9n\u00e9ral recherche l&rsquo;existence d&rsquo;une tare (risque de d\u00e9compensation).<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Le bilan g\u00e9n\u00e9ral note l&rsquo;age qui est de grande valeur pronostique : la r\u00e8gle de beaux \u00e9dicte que lorsque le pourcentage de surface brul\u00e9 + l\u2019\u00e2ge d\u00e9passe 100, le d\u00e9c\u00e8s est presque in\u00e9vitable.<\/p>\n<p>Bien entendu le bilan recherchera des signes de choc :<\/p>\n<p>Parfois \u00e9vidents :<\/p>\n<ul>\n<li>Pouls petits, rapide, voire imprenable,<\/li>\n<li>Tension art\u00e9rielle effondr\u00e9e, pinc\u00e9e<\/li>\n<li>Agitation, sueurs, p\u00e2leur et on peut dire que dans ces cas la r\u00e9animation prime tout autre geste ;<\/li>\n<\/ul>\n<p>Ailleurs latents et on demande d&#8217;embl\u00e9e :<\/p>\n<ul>\n<li>Num\u00e9ration-formule sanguine, h\u00e9matocrite<\/li>\n<li>Groupe sanguin<\/li>\n<li>Ionogramme<\/li>\n<li>R\u00e9serve alcaline<\/li>\n<li>Ur\u00e9e sanguine et urinaire<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Au terme de ce premier examen on l&rsquo;absence de choc manifeste :<\/p>\n<p>&nbsp;<\/p>\n<p>Le traitement local sera ex\u00e9cut\u00e9 avec un maximum d&rsquo;asepsie :<\/p>\n<ul>\n<li>Apr\u00e8s d\u00e9capage dans un bain d&rsquo;eau \u00e0 37\u00b0 javellis\u00e9 \u00e0 1%, appliquer un pansement occlusif dans la mesure du possible ;<\/li>\n<li>Ou m\u00e9thode dite ouverte d&rsquo;exposition \u00e0 l&rsquo;air dans un lit st\u00e9rile.<\/li>\n<\/ul>\n<p>On installe alors :<\/p>\n<ul>\n<li>Un cath\u00e9ter veineux en se mettant dans les meilleures conditions techniques possibles, car il ne faut pas gaspiller le pr\u00e9cieux capital veineux du brul\u00e9.<\/li>\n<li>Une sonde v\u00e9sicale permettant de faire une courbe de diur\u00e8se (heure par heure)<\/li>\n<li>La r\u00e9animation est bas\u00e9e sur des perfusions dont le sch\u00e9ma classique es donn\u00e9 par la r\u00e8gle d&rsquo;Evans.<\/li>\n<\/ul>\n<p>Toutes les donn\u00e9es de cet examen seront inscrites sur une feuille d&rsquo;observation d\u00e9taill\u00e9e ou l&rsquo;on doit pouvoir trouver rapidement :<\/p>\n<p>&#8211; Le sch\u00e9ma des l\u00e9sions ;<\/p>\n<p>&#8211; Les graphiques des pouls, tension art\u00e9rielle, diur\u00e8se horaire ;<\/p>\n<p>&#8211; Les principaux signes cliniques ;<\/p>\n<p>&#8211; Les r\u00e9sultats biologiques ;<\/p>\n<p>&#8211; La th\u00e9rapeutique entreprise<\/p>\n<p>&nbsp;<\/p>\n<p>Le premier jour, les examens doivent \u00eatre r\u00e9p\u00e9t\u00e9s toutes les 3 heures.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Le premier examen d&rsquo;un grand brul\u00e9 a pour objectif de faire un bilan des l\u00e9sions, de poser les bases essentielles du pronostic. Cependant, si le brul\u00e9 est choqu\u00e9 lorsqu&rsquo;on est amen\u00e9 \u00e0 l&rsquo;examiner, il faut d&#8217;embl\u00e9e m\u00eame sans donn\u00e9es pr\u00e9cises, commencer la r\u00e9animation. En dehors de cette \u00e9ventualit\u00e9 l&rsquo;interrogatoire pr\u00e9cise les circonstances de l&rsquo;accident : Heure de la brulure et non heure du premier examen Agent causal : jet de flamme, explosion, moins graves que les brulures par liquides&#8230;<\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/www.medespoir.ch\/blog\/examen-initial-d-un-grand-brule\/\">Lire la suite<span class=\"screen-reader-text\"> Lire la suite<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":3180,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3178","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>traitement brul\u00e9 Tunisie : Examen 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