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atla.doereport.comatla.doereport.comBurns - Medical Animation
Burns - Medical Animation



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8/10/20
Burns - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Burns - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
The skin contains three main layers: the epidermis, dermis, and hypodermis, or subcutaneous. Burns are tissue injuries caused by heat, chemicals, electricity, radiation, extreme cold, or friction that disrupt the skin's framework and function. Superficial burns affect the epidermis only, causing erythema, or redness, and pain. Partial thickness burns are either superficial or deep. Superficial partial-thickness burns involve the epidermis and the upper, or papillary, dermis, causing immediate blistering and intense pain and sensitivity. Deep partial-thickness burns destroy the papillary dermis, epidermis, and most of the lower, or reticular, dermis, sparing some cutaneous nerve endings, capillaries, and dermal appendages. Full-thickness burns destroy the entire epidermis, dermis, and portions of the hypodermis. The burned area is white, brown, dry, and charred, has no sensation, and cannot heal without surgical intervention. Burns can also be evaluated by determining the percentage of body surface area they cover. This percentage can be estimated quickly using the rule of nines, a formula in which each body part is assigned a value of 9% or a multiple of nine. Severe burns involving a large surface area increase capillary permeability and lead to two stages of shock. In hypovolemic shock, water, electrolytes, and plasma proteins leak from the bloodstream into interstitial spaces creating widespread edema. In burn shock, the lowered intravascular volume increases blood viscosity and vascular resistance. To compensate, the heart rate speeds up. As a result, organs and tissues do not receive adequate blood supply, resulting in tissue and organ death from a lack of oxygen. Burn treatment aims to restore fluid balance through administration of intravenous fluids, electrolytes, and proteins, which increases intravascular volume. Wound care reduces complications by preventing infection and promoting healing of damaged tissues. Analgesics control the pain and inflammation of superficial burns. Superficial partial-thickness burns are cleansed, covered with a sterile dressing, and monitored regularly for infection. In deep partial-thickness burns, dead skin, or eschar is routinely detached or debrided to a healthy level. The wound bed is kept clean and moist to allow epithelial regeneration and to accept transplanted tissue called a skin graft. Full-thickness burns are excised and regularly debrided to prevent ischemia and infection, and to create a viable base for grafting. ♪ [music] ♪

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What attorneys say about MLA and The Doe Report:
"[Your staff] was extremely efficient, cooperative and gracious and [their] efforts produced a demonstrative exhibit that we used effectively throughout our trial. The jury verdict of $3,165,000.00 was, in no small measure, due to the impact of the demonstrative evidence. You may be sure that we will call again."

David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY

"We got a defense verdict yesterday! Your exhibit was extremely helpful in showing the jury how unlikely it is to damage all four of the nerve branches which control the sense of taste."

Karen M. Talbot
Silverman Bernheim & Vogel, P.C.
Philadeplphia, PA

"The Doe Report's Do-It-Yourself Exhibits program enables easy customization of complex medical exhibits at a reasonable expense and in a timely manner. Practically speaking, custom medical exhibits are no longer an unthinkable luxury, but a routine necessity."

Jack S. Cohen
Levy, Angstreich, Finney, Baldante & Coren
Philadelphia, PA

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
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