What’s New in the Pulse Physiology Engine 4.4.0
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Burn-Mild

Mild Burn

Description

Acute mild burn across the entire body.

Burn Distribution


Figure 1. Lund-Browder chart showing burn distribution and severity.


Segment Validation

Segment 1

Initiate a mild burn with 5% TBSA. Run for 1 hr.

Table 1. Data request validation results for Segment 1.
Property Name Validation Engine Value Percent Error Percent Change Notes
ThermalBurn-TotalBodySurfaceArea EqualTo 0.05 [187] 0.0500 0.00%   Directly set.
HeartRate(1/min) GreaterThanEqualTo Baseline (72.0) [187] 72.4   0.51% Increases with stress response and burn severity.
MeanArterialPressure(mmHg) LessThanEqualTo Baseline (95.3) [332] 96.1 0.92%   Decreases with burn shock / hypovolemia.
SystolicArterialPressure(mmHg) LessThanEqualTo Baseline (114) [332] 115 0.68%   Decreases with worsening burn shock.
DiastolicArterialPressure(mmHg) LessThanEqualTo Baseline (73.5) [332] 74.5 1.39%   Decreases with worsening burn shock.
CardiacOutput(L/min) LessThanEqualTo Baseline (5.78) [332] 5.75   -0.49% Early phase burn shock is associated with reduced cardiac output.
SystemicVascularResistance(mmHg_s/mL) GreaterThanEqualTo Baseline (0.940) [332] 0.954   1.45% Compensatory vasoconstriction increases SVR in early burn shock.
BloodVolume(L) LessThanEqualTo Baseline (5.49) [332] 5.49 0.05%   Intravascular hypovolemia due to capillary leak/third spacing.
CentralVenousPressure(mmHg) LessThanEqualTo Baseline (4.80) [332] 4.69   -2.28% Reduced preload from intravascular volume loss.
Aorta-Oxygen-PartialPressure(mmHg) EqualTo Baseline (91.4) [187] 91.5 0.11%   Oxygenation typically near baseline without inhalation injury.
Aorta-CarbonDioxide-PartialPressure(mmHg) LessThanEqualTo Baseline (37.8) [187] 38.0 0.45%   Mild hypocapnia possible with increased ventilatory drive.
OxygenSaturation EqualTo Baseline (0.976) [187] 0.975 -0.04%   SaO2 should remain near baseline for uncomplicated burn.
RespirationRate(1/min) GreaterThanEqualTo Baseline (11.9) [187] 12.1   1.61% Increased respiratory drive/stress response.
TotalAlveolarVentilation(L/min) GreaterThanEqualTo Baseline (4.24) [187] 4.43   4.37% Increases with respiratory drive.
EndTidalCarbonDioxidePressure(mmHg) LessThanEqualTo Baseline (36.4) [187] 36.5 0.21%   Decreases with relative hyperventilation.
CoreTemperature(degC) GreaterThanEqualTo Baseline (37.0) [186] 37.1   0.23% Hypermetabolic/stress response may increase core temperature (qualitative).
SkinTemperature(degC) LessThanEqualTo Baseline (32.4) [186] 29.3   -9.54% Heat loss through damaged barrier may reduce skin temperature (qualitative).
TotalMetabolicRate(W) GreaterThanEqualTo Baseline (84.1) [186] 85.4   1.50% Burn injuries drive hypermetabolic response; increases with severity.
UrineProductionRate(mL/min) LessThanEqualTo Baseline (0.929) [311] 0.934 0.57%   Burn shock reduces renal perfusion; oliguria expected without resuscitation.
ExtracellularFluidVolume(L) GreaterThanEqualTo Baseline (8.81) [332] 8.78 -0.36%   Third spacing increases extracellular fluid volume.
ExtravascularFluidVolume(L) GreaterThanEqualTo Baseline (34.1) [332] 34.1 -0.09%   Capillary leak increases extravascular fluid volume.


Figure 2. Vitals monitor for Segment 1.


Table 2. Data requests for Segment 1.
Property Name Engine Value
Patient-Weight(kg) 77.1
ECG-Lead3ElectricPotential(mV) 0.212
HeartRate(1/min) 72.4
HeartStrokeVolume(mL) 79.4
HeartEjectionFraction 0.561
BloodVolume(L) 5.49
ExtravascularFluidVolume(L) 34.1
ArterialPressure(mmHg) 88.5
MeanArterialPressure(mmHg) 96.1
SystolicArterialPressure(mmHg) 115
DiastolicArterialPressure(mmHg) 74.5
CardiacOutput(L/min) 5.75
HemoglobinContent(g) 821
CentralVenousPressure(mmHg) 4.69
PulmonaryCapillariesWedgePressure(mmHg) 6.43
TidalVolume(mL) 517
TotalLungVolume(mL) 2.24e+03
RespirationRate(1/min) 12.1
OxygenSaturation 0.975
CarbonDioxideSaturation 0.0265
EndTidalCarbonDioxideFraction 0.0480
EndTidalCarbonDioxidePressure(mmHg) 36.5
TotalAlveolarVentilation(L/min) 4.43
TranspulmonaryPressure(cmH2O) 4.92
CoreTemperature(degC) 37.1
SkinTemperature(degC) 29.3
RespiratoryExchangeRatio 0.802
OxygenConsumptionRate(mL/min) 258
CarbonDioxideProductionRate(mL/min) 207
GlomerularFiltrationRate(mL/min) 88.5
RenalBloodFlow(L/min) 0.955
UrineProductionRate(mL/min) 0.934
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0437
RightAfferentArterioleResistance(mmHg_min/mL) 0.0437
SystemicVascularResistance(mmHg_s/mL) 0.954
LeftAlveoli-Pressure(cmH2O) 1.03e+03
RightAlveoli-Pressure(cmH2O) 1.03e+03
Pericardium-Volume(mL) 15.0
Pericardium-Pressure(mmHg) 1.00
Trachea-Oxygen-PartialPressure(mmHg) 116
Trachea-CarbonDioxide-PartialPressure(mmHg) 36.5
LeftLungPulmonary-Oxygen-PartialPressure(mmHg) 116
RightLungPulmonary-Oxygen-PartialPressure(mmHg) 114
LeftLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 37.0
RightLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 37.9
LeftAlveoli-Oxygen-PartialPressure(mmHg) 116
LeftAlveoli-CarbonDioxide-PartialPressure(mmHg) 37.0
RightAlveoli-Oxygen-PartialPressure(mmHg) 114
RightAlveoli-CarbonDioxide-PartialPressure(mmHg) 37.9
Aorta-Oxygen-PartialPressure(mmHg) 91.5
Aorta-CarbonDioxide-PartialPressure(mmHg) 38.0
VenaCava-Oxygen-PartialPressure(mmHg) 38.9
VenaCava-CarbonDioxide-PartialPressure(mmHg) 44.5
RightTubules-Sodium-Concentration(g/L) 4.05
LeftTubules-Sodium-Concentration(g/L) 4.05
Oxygen-AlveolarTransfer(mL/min) 241
CarbonDioxide-AlveolarTransfer(mL/min) -178
Epinephrine-BloodConcentration(ug/L) 0.0352
Epinephrine-SystemicMassCleared(ug) 11.4
Norepinephrine-BloodConcentration(ug/L) 0.236
Norepinephrine-SystemicMassCleared(ug) 40.8

Scenario Output Plots


Figure 3. Select outputs from the scenario.


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