{"id":595,"date":"2022-03-14T06:38:34","date_gmt":"2022-03-14T06:38:34","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/case-study-burns-in-disasters-and-conflicts-fr\/"},"modified":"2022-05-02T02:21:16","modified_gmt":"2022-05-02T02:21:16","slug":"case-study-burns-in-disasters-and-conflicts-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/case-study-burns-in-disasters-and-conflicts-fr\/","title":{"rendered":"\u00c9tude de cas &#8211; Br\u00fblures en situation de catastrophe ou de conflit"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteurs originaux <\/b> &#8211; <a class=\"new\" title=\"User:Naomi O Reilly (page does not exist)\" href=\"\/index.php?title=User:Naomi_O_Reilly&amp;action=edit&amp;redlink=1\">Naomi O Reilly<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Naomi O'Reilly\" href=\"\/User:Naomi_O%27Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Olajumoke Ogunleye\" href=\"\/User:Olajumoke_Ogunleye\"><bdi>Olajumoke Ogunleye<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Title\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Titre<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Abstract\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">R\u00e9sum\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Key_Words\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Mots cl\u00e9s <\/span> <\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Patient_Characteristics\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Caract\u00e9ristiques des patients<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Background\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Contexte<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Examination_Findings\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9sultats d&rsquo;examen<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#A:_Airway_and_C-spine_Control\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">A : Contr\u00f4le des voies respiratoires et de la colonne vert\u00e9brale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#B:_Breathing\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">B: Respiration<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#C:_Circulation\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">C: Circulation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#D:_Disability\"><span class=\"tocnumber\">5.4<\/span> <span class=\"toctext\">D: Handicap<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#E:_Exposure\"><span class=\"tocnumber\">5.5<\/span> <span class=\"toctext\">E: Exposition<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#F:_Fluid_Resuscitation\"><span class=\"tocnumber\">5.6<\/span> <span class=\"toctext\">F: R\u00e9animation par administration de fluides<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Pain_Management\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Gestion de la douleur<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Wound_Care\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Soins des plaies<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#Rehabilitation\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9adaptation<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Concerns\"><span class=\"tocnumber\">8.1<\/span> <span class=\"toctext\">Pr\u00e9occupations<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Treatment\"><span class=\"tocnumber\">8.2<\/span> <span class=\"toctext\">Traitement<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Goals\"><span class=\"tocnumber\">8.2.1<\/span> <span class=\"toctext\">Objectifs<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-19\"><a href=\"#Short-term\"><span class=\"tocnumber\">8.2.1.1<\/span> <span class=\"toctext\">\u00c0 court terme<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-20\"><a href=\"#Long-term\"><span class=\"tocnumber\">8.2.1.2<\/span> <span class=\"toctext\">\u00c0 long terme<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-21\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span> <\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Title\" class=\"mw-headline\">Titre<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Title\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Title\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Br\u00fblures au visage, au cou, au tronc et aux bras suite \u00e0 un feu de cuisine dans un camp temporaire apr\u00e8s le tremblement de terre <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">[1]<\/a><\/sup><\/p>\n<p>Merci \u00e0 Humanit\u00e9 et Inclusion pour cette<a class=\"external text\" href=\"https:\/\/resources.relabhs.org\/resource\/early-rehabilitation-in-conflicts-and-disasters\/\" rel=\"nofollow\">\u00e9tude de cas tir\u00e9e de R\u00e9adaptation pr\u00e9coce en situations de conflit et de catastrophe &#8211; Manuel clinique<\/a><\/p>\n<h2><span id=\"Abstract\" class=\"mw-headline\">R\u00e9sum\u00e9<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Abstract\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Abstract\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Mme T est une femme de 35 ans qui s&rsquo;est pr\u00e9sent\u00e9e dans un \u00e9tablissement de soins quatre heures apr\u00e8s avoir \u00e9t\u00e9 br\u00fbl\u00e9e au visage, au cou, au tronc et aux bras suite \u00e0 un feu de cuisine dans un camp temporaire apr\u00e8s le tremblement de terre qui a d\u00e9truit sa maison. Mme T. respirait spontan\u00e9ment et pr\u00e9sentait des signes de br\u00fblure superficielle autour du nez et de la bouche, ce qui peut \u00eatre le signe d&rsquo;une inhalation de fum\u00e9e toxique et sugg\u00e9rer la n\u00e9cessit\u00e9 d&rsquo;une oxyg\u00e9noth\u00e9rapie. Elle a d\u00fb subir une escarotomie au niveau de la poitrine et des bras.<\/p>\n<h2><span id=\"Key_Words\" class=\"mw-headline\">Mots cl\u00e9s <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Words\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Key Words\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Br\u00fblures, incendie, tremblement de terre, catastrophes,<\/p>\n<h2><span id=\"Patient_Characteristics\" class=\"mw-headline\">Caract\u00e9ristiques des patients<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient Characteristics\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Patient Characteristics\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span id=\"Background\" class=\"mw-headline\">contexte<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Background\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Background\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<p>Mme T est une femme de 35 ans qui cuisinait sur un feu dans un camp temporaire \u00e0 la suite d&rsquo;un tremblement de terre qui a d\u00e9truit sa maison. Le feu a \u00e9t\u00e9 \u00e9teint avec un seau d&rsquo;eau froide et elle s&rsquo;est pr\u00e9sent\u00e9e \u00e0 votre \u00e9tablissement quatre heures plus tard. Il n&rsquo;y a pas d&rsquo;ant\u00e9c\u00e9dents ou de traumatisme suppl\u00e9mentaire et vous ne soup\u00e7onnez pas de l\u00e9sion de la colonne vert\u00e9brale, elle n&rsquo;a donc pas besoin de collier cervical.<\/p>\n<h2><span id=\"Examination_Findings\" class=\"mw-headline\">R\u00e9sultats de l&rsquo;examen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination Findings\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Examination Findings\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span id=\"A:_Airway_and_C-spine_Control\" class=\"mw-headline\">A : Contr\u00f4le des voies respiratoires et de la colonne vert\u00e9brale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: A: Airway and C-spine Control\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: A: Airway and C-spine Control\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>La patiente maintient-elle ses voies respiratoires ? Oui, Mme T maintient ses voies respiratoires.<\/li>\n<li>Cependant, elle souffre de br\u00fblures au visage et au cou, et nous craignons que les voies respiratoires ne soient menac\u00e9es par un gonflement et\/ou une blessure par inhalation.<\/li>\n<li>Faites asseoir la patiente<\/li>\n<li>Gestion m\u00e9dicale &#8211; il y a un besoin d&rsquo;oxyg\u00e8ne : lien avec l&rsquo;\u00e9quipe m\u00e9dicale<\/li>\n<\/ul>\n<h3><span id=\"B:_Breathing\" class=\"mw-headline\">B: Respiration<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: B: Breathing\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: B: Breathing\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>Respiration spontan\u00e9e avec des bruits respiratoires normaux continus<\/li>\n<li>RR de 16BPM, respiration un peu superficielle<\/li>\n<li>Signes de br\u00fblures sur la poitrine et le haut du dos &#8211; Les br\u00fblures semblent profondes, la patiente peut donc avoir besoin d&rsquo;une escarotomie &#8211; lien avec l&rsquo;\u00e9quipe m\u00e9dicale<\/li>\n<li>Signes de br\u00fblure superficielle autour du nez et de la bouche (peut indiquer une inhalation de fum\u00e9e toxique)<\/li>\n<\/ul>\n<h3><span id=\"C:_Circulation\" class=\"mw-headline\">C: Circulation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: C: Circulation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=9\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: C: Circulation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=9\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>La patiente ne souffre d&rsquo;aucune h\u00e9morragie.<\/li>\n<li>Le pouls est de 110, la tension art\u00e9rielle de 100\/70 : patiente probablement d\u00e9shydrat\u00e9e, mais pas en \u00e9tat de choc<\/li>\n<li>Les mains sont froides avec un mauvais retour capillaire dans les doigts &#8211; Les br\u00fblures sur la partie sup\u00e9rieure du bras sont profondes et circonf\u00e9rentielles<\/li>\n<li>L&rsquo;\u00e9quipe m\u00e9dicale devra ins\u00e9rer des canules et commencer une th\u00e9rapie par administration de fluides et effectuer une escarotomie aux deux bras et \u00e0 la poitrine<\/li>\n<\/ul>\n<h3><span id=\"D:_Disability\" class=\"mw-headline\">D: Handicap<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: D: Disability\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: D: Disability\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>Mme T est consciente et parle quand on lui parle (V sur l&rsquo;\u00e9chelle AVPU)<\/li>\n<li>L&rsquo;examen de ses pupilles est \u00e9gal et sensible \u00e0 la lumi\u00e8re<\/li>\n<li>Il ne semble pas y avoir de probl\u00e8mes neurologiques<\/li>\n<li>La patiente est capable de s&rsquo;asseoir de mani\u00e8re autonome, vous n&rsquo;avez donc pas besoin de la faire rouler.<\/li>\n<\/ul>\n<h3><span id=\"E:_Exposure\" class=\"mw-headline\">E: Exposition<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: E: Exposure\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: E: Exposure\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>La patiente doit \u00eatre maintenue au chaud pour \u00e9viter l&rsquo;hypothermie.<\/li>\n<\/ul>\n<h3><span id=\"F:_Fluid_Resuscitation\" class=\"mw-headline\">F: R\u00e9animation par adminitration de fluides<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: F: Fluid Resuscitation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: F: Fluid Resuscitation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>Crucial dans la gestion des br\u00fblures aigu\u00ebs : L&rsquo;\u00e9quipe m\u00e9dicale doit prendre l&rsquo;initiative<\/li>\n<li>Il est important de surveiller le <a title=\"Urine\" href=\"\/Urine\">d\u00e9bit urinaire<\/a>, le <a title=\"Pulse rate\" href=\"\/Pulse_rate\">pouls<\/a>, la <a title=\"Blood Pressure\" href=\"\/Blood_Pressure\">tension art\u00e9rielle<\/a> et le <a title=\"Capillary Refill Test\" href=\"\/Capillary_Refill_Test\">remplissage capillaire<\/a><\/li>\n<li>Continuer \u00e0 \u00e9valuer ses voies respiratoires et le gonflement d\u00fb \u00e0 l&rsquo;\u0153d\u00e8me<\/li>\n<\/ul>\n<h2><span id=\"Pain_Management\" class=\"mw-headline\">Gestion de la douleur<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pain Management\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=13\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Pain Management\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=13\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<ul>\n<li>Veillez \u00e0 ce que la <a title=\"Pain-Modulation\" href=\"\/Pain-Modulation\">gestion de la douleur<\/a> soit assur\u00e9e, ce qui inclut le pr\u00e9-changement des pansements (COD) \/ l&rsquo;<a title=\"Analgesic Medication and Exercise\" href=\"\/Analgesic_Medication_and_Exercise\">analg\u00e9sie<\/a> de th\u00e9rapie.<\/li>\n<\/ul>\n<h2><span id=\"Wound_Care\" class=\"mw-headline\">Soins des plaies<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Wound Care\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=14\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Wound Care\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=14\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<ul>\n<li>Discuter du plan de soins de la plaie de Mme T.<\/li>\n<li>Que la th\u00e9rapie soit bien li\u00e9e au changement des pansements et permette de v\u00e9rifier la cicatrisation de la plaie et d&rsquo;\u00e9valuer les complications<\/li>\n<\/ul>\n<h2><span id=\"Rehabilitation\" class=\"mw-headline\">R\u00e9adaptation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Rehabilitation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Rehabilitation\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<h3><span id=\"Concerns\" class=\"mw-headline\">Pr\u00e9occupations<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Concerns\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Concerns\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li><a title=\"Edema Assessment\" href=\"\/Edema_Assessment\">\u0152d\u00e8me<\/a><\/li>\n<li>Fonction respiratoire<\/li>\n<li>Articulations touch\u00e9es\n<ul>\n<li>RAPPEL &#8211; Maintenir la position correcte, mettre une attelle pour pr\u00e9venir la contracture et mobiliser pour encourager la fonction normale.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Treatment\" class=\"mw-headline\">Traitement<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Treatment\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Treatment\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>Soigner Mme T en position assise en raison du risque de <a title=\"Inhalation Injury\" href=\"\/Inhalation_Injury\">blessure par inhalation<\/a> &#8211; ajouter des exercices de respiration et, si n\u00e9cessaire, une physioth\u00e9rapie thoracique (comme pour toute autre affection). Il est important de maintenir la patiente bien hydrat\u00e9e, afin que les s\u00e9cr\u00e9tions ne s&rsquo;ass\u00e8chent pas<\/li>\n<li>NB, apr\u00e8s la GSS, les <a title=\"Vibration\" href=\"\/Vibration\">vibrations<\/a> et la <a title=\"Percussion\" href=\"\/Percussion\">percussion<\/a> de la r\u00e9gion thoracique doivent \u00eatre laiss\u00e9es pendant cinq jours si possible, et si n\u00e9cessaire, effectu\u00e9es sur des pansements ou compresses Gamgee (coton absorbant entre des gazes).<\/li>\n<li>Levez doucement ses bras et maintenez-les en abduction et en extension au repos, comme indiqu\u00e9 de fa\u00e7on s\u00e9curitaire.<\/li>\n<li>Continuer \u00e0 surveiller ses doigts pour v\u00e9rifier la circulation<\/li>\n<li>Attelle pour le cou et les aisselles et, si n\u00e9cessaire, la bouche<\/li>\n<li>Enseigner les exercices de ROM et d&rsquo;\u00e9tirement (en \u00e9vitant de trop \u00e9tirer)<\/li>\n<li>\u00c9valuer et conseiller sur la mobilisation<\/li>\n<li>Veiller \u00e0 ce que la patiente s&rsquo;alimente avec sa propre participation dans la mesure o\u00f9 elle peut le faire en toute s\u00e9curit\u00e9, et surveiller les niveaux de douleur<\/li>\n<li>Tout documenter clairement et tout COMMUNIQUER clairement au patient et \u00e0 sa famille<\/li>\n<\/ul>\n<h4><span id=\"Goals\" class=\"mw-headline\">Objectifs<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Goals\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=18\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Goals\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=18\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<h5><span id=\"Short-term\" class=\"mw-headline\">\u00c0 court terme<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Short-term\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Short-term\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=19\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h5>\n<ul>\n<li>Encourager l&rsquo;activit\u00e9 d\u00e8s le premier jour.<\/li>\n<li>L&rsquo;objectif est de pr\u00e9venir la contracture et de maximiser le retour \u00e0 la fonction &#8211; les mouvements initiaux peuvent \u00eatre limit\u00e9s si le patient a d\u00fb subir des greffes de peau, mais une fois que le chirurgien l&rsquo;autorise, le mouvement doit \u00eatre encourag\u00e9<\/li>\n<li>L&rsquo;\u00e9valuation des r\u00e9sultats doit inclure la mesure du ROM actif et passif ainsi que la mesure de l&rsquo;encoche menton-sternum et le commentaire sur l&rsquo;ouverture de la bouche (limit\u00e9e\/pleine), ainsi que les contours du visage, du cou et du tronc<\/li>\n<\/ul>\n<h5><span id=\"Long-term\" class=\"mw-headline\">\u00c0 long terme<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Long-term\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=20\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Long-term\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h5>\n<ul>\n<li>Gestion et r\u00e9sultats attendus<\/li>\n<li>\u00c9valuer le stade de maturation de la cicatrice et l&rsquo;acceptation par le patient d&rsquo;une image et d&rsquo;une fonction corporelles modifi\u00e9es.<\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;veaction=edit&amp;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Case_Study_-_Burns_in_Disasters_and_Conflicts&amp;action=edit&amp;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Lathia C, Skelton P, Clift Z. Early Rehabilitation in Conflicts and Disasters. Handicap International: London, UK. 2020.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220308130546 Cache expiry: 0 Dynamic content: true Complications: [] CPU time usage: 0.032 seconds Real time usage: 0.039 seconds Preprocessor visited node count: 98\/1000000 Post\u2010expand include size: 71\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 642\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 9.495 1 Special:Contributors\/Case_Study_-_Burns_in_Disasters_and_Conflicts 100.00% 9.495 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteurs originaux &#8211; Naomi O Reilly Principaux contributeurs &#8211; Naomi O&rsquo;Reilly et Olajumoke Ogunleye Contenu 1 Titre 2 R\u00e9sum\u00e9 3 Mots cl\u00e9s 4 Caract\u00e9ristiques des patients 4.1 Contexte 5 R\u00e9sultats d&rsquo;examen 5.1 A : Contr\u00f4le des voies respiratoires et de la colonne vert\u00e9brale 5.2 B: Respiration 5.3 C: Circulation 5.4 D: Handicap 5.5 E: Exposition [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-595","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/595","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=595"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/595\/revisions"}],"predecessor-version":[{"id":815,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/595\/revisions\/815"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}