Burn injuries occurs universally and affected mankind since antiquity,every year more than 2 million people sustained burn injuries in India,out of these 1/10 admitted in hospitals and 5000 patients died every year from admitted patients, 40% of deaths occurred in first 24 hrs of admission. Current therapy of acutely burned patients is based on adequate resuscitation,early wound debridement and closure,support of post-burn hypermetabolic response and control of infection.
Major burns described as: burned total body suface area more than 20% in adults and more than 10% in youngers. more than 5% full thickness burn or 3rd-degree burn high voltage electric burn known inhalation injury associated other injuries Causes of death in first 24 hours in acutely burned: inhalation..resposible in 25% of case either due to co2 or carbon mono oxide poisoning,suffocation or anoxia to brain require…