Webinar: Burn Care: Identification, Stabilization, and Intervention
Burns can seem like an intimidating injury to treat, especially for those who do not routinely encounter them in their clinical practice. However, by learning how to properly diagnose burns and understand how they affect the body as a whole, this common pathology becomes much easier to manage. In this webinar you will learn how to differentiate between different types of burns and understand how that impacts your treatments. The anatomy and pathophysiology will be reviewed, and both medical and surgical interventions will be explained. Specific focus will be directed at initial resuscitation and the management of early burn complications. Finally, Dr. Brown will discuss how to manage expectations for patients and their families with respect to morbidity and mortality.
At the conclusion of this activity, learners will be better able to:
1. Properly assess the depth of a burn and explain how burns of different depths are treated differently
2. Calculate total body surface area of a burn
3. Estimate the initial rate of fluid resuscitation for a major (>20% TBSA) burn, and explain how to determine whether that resuscitation is successful in potential patients
4. Review surgical management of initial burn complications, such as compartment syndrome
5. Discuss adjunct medical management of burns including nutrition and metabolic modifiers and when it would be appropriate to introduce these treatments
Zachary W. Brown, D.O., FACOS
CDR Zachary Brown left high school in Branson, MO after his sophomore year when he was selected for a full-ride scholarship to Simon’s Rock College of Bard. He completed his Associative Arts degree in 1996 and transferred to Carleton College, where he graduated with distinction in 1999 with his BA in biology and English. He was commissioned into the US Navy that year and attended Oﬃcer Indoctrination School before matriculating at the Kirksville College of Osteopathic Medicine that fall. Upon graduation in 2003, he moved to Detroit for a surgery-linked transitional internship at Oakwood Southshore.
In 2004 he reported to Camp LeJeune, NC as a general medical oﬃcer with 2D Battalion, 10th Marines (artillery) with whom he deployed to al Taqaddum, Iraq. He spent 2 years with artillery before transferring to the Anti-Terrorism Battalion for a year, and ﬁnally spent a year (and another deployment) with 3D Battalion, 8th Marines (infantry) as the Ground Combat Element of the 22D Marine Expeditionary Unit, which deployed aboard the USS Kearsarge. A highlight of that deployment was the humanitarian mission Operation Sea Angel II in Bangladesh following cyclone Sidr. From 2008-2012 he was a full-time outservice (FTOS) general surgery resident at Memorial Hospital in York, PA, during which time he was selected for Lieutenant Commander. His ﬁrst post-residency assignment was as general surgeon with Fleet Surgical Team (FST) SIX based out of Little Creek, VA. During that time he was also a staﬀ surgeon at Naval Medical Center Portsmouth, and covered surgery needs for two FSTs alternating between the USS Wasp and the USS Bataan, deploying on the latter in 2014.
He completed FTOS fellowships in surgical critical care and trauma surgery at UT Southwestern hospital and burn surgery at Parkland hospital in Dallas, TX 2014-2016, and was promoted to Commander in 2015. In summer 2016 he transferred to Walter Reed National Military Medical Center, was appointed Assistant Professor of Surgery at the United States University of Health Sciences, and served as a staﬀ surgeon. In February 2017 he deployed as the Director of Surgical Services and sole trauma surgeon for Emergency Medical Unit 10G-2, stationed in Q-West, Iraq in close proximity to Mosul. During that deployment he was hand-picked to break his orders early and move to Camp LeJeune to be the subject matter expert in trauma surgery, and help Naval Medical Center Camp LeJeune become the Navy’s ﬁrst joint civilian/military level 3 trauma center.
In 2019 he deployed to Afghanistan as the Chief of Trauma and Oﬃcer in Charge of the Task Force Southwest 19.2 Forward Resuscitative Surgery System. He is currently assigned to 2D Medical Battalion, Camp LeJeune working with the Marine Corps and developing operational medicine training programs. He serves on the military’s Prehospital/Tactical Combat Casualty Care Sub-Committee, the Military Committee of the Eastern Association for the Surgery of Trauma (EAST), and the Government Aﬀairs Committee of the American College of Osteopathic Surgeons. He is actively involved with EAST in the development of Practice Management Guidelines, and has recently started work with an EAST ad hoc committee charged with evaluating ways to improve trauma care in rural and austere environments. CDR Brown is a Fellow in both the American College of Osteopathic Surgeons and the American College of Surgeons.
CDR Brown’s personal awards include the Navy and Marine Corps Achievement medal, Navy and Marine Corps Commendation medal, and Meritorious Service medal. He is designated as a Fleet Marine Force Qualiﬁed Oﬃcer and Surface Warfare Medical Department Oﬃcer.