Ep 212 Burns Part 1: The first million or so years
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How have burns been part of the human experience?
This is exactly right.
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This episode features descriptions that some listeners might find upsetting. Please listen with Case 1. A lady, aged 20 years, in feeble health, was extensively burned by her mosquito curtains and calico bed cover being set on fire after she had fallen asleep. The flames enveloped her head, neck, and arms and were not extinguished for 20 or 30 seconds. Ardent spirits were first applied, then flaxseed oil, and lastly a calcareous soap of the same oil and lime water. Laudanum was administered freely, both externally and internally. Case two. The editor, while rescuing the patient described in case one, was severely burnt on both hands from compressing the burning clothes with his bare hands until the flames were extinguished.
The cuticle exfoliated from nearly the whole right hand and the cutis vera sloughed in seven places. The left hand suffered much worse. The whole cuticle was separated and much of it was rolled up, especially that which covered the space between the wrist and hollow of the hand and extended up the inner side of the thumb as far as the middle of the second phalanx. Between these limits and the metacarpal bone of the little finger on one side and the corresponding bone of the thumb on the other, the true skin was killed and turned black. Immediately after the accident, he immersed both hands in whiskey, then in a liniment of flaxseed oil and lime water, after which the affected parts were wrapped in rags dipped in a painter's mixture of the same kind of oil and white lead, ground together.
In three days, this was replaced by carrot poultices with yeast and Peruvian bark, the deeply burnt parts being stimulated at different times with tincture of myrrh, oil of turpentine, ammoniated alcohol, and other excitants." After a few days, separation was established and the dead skin sloughed off. Had the case presented nothing but what has been stated, a report of it would have been of little interest. There resulted, however, from this local injury, a great constitutional disturbance. And to this, I beg leave to direct the attention of the reader. Several causes seem to have conspired to depress the energy and disorder the sensibilities of his nervous system. Number one, the acute sensibility of the parts injured.
The pain, for several hours after the accident, was excruciating, notwithstanding the liberal use of laudanum. 2. The scene of concentrated horror, under which the injury was inflicted, contributed not a little to overthrow the powers of the nervous system.
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Chapters
8 chapters
1
How have burns been part of the human experience?
0:01–6:35
2
What are the biological responses to burn injuries?
6:35–8:49
3
How do we categorize burns based on severity?
8:49–11:42
4
What historical treatments for burns were used in ancient civilizations?
11:42–19:37
5
What are the differences between first, second, and third degree burns?
19:37–23:54
6
How does the body respond to different types of burns?
23:54–28:15
7
What modern advancements have improved burn treatment?
28:15–32:35
8
What can we learn about the historical quest to treat burns?
32:35–1:02:11
Speakers
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