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Introduction The endocrine system is central to coordinating the systemic response to burn trauma ( Table 23.1 ). Pathological and compensatory changes are seen in the hypothalamic-pituitary-adrenal (HPA) axis, thyroid, pancreatic, and gonadal hormonal secretions. These changes act in concert…
Introduction Severe burn injury causes a myriad of hematologic perturbations. Burn excision as well as substantial in-hospital phlebotomy causes severe blood loss anemia and even hemorrhagic shock, requiring substantial transfusion. Large-scale fluid resuscitation and shock cause a significant coagulopathy. Surgical…