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

Severe Burn

Description

Acute severe burn across the entire body.

Burn Distribution


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


Segment Validation

Segment 1

Initiate a severe burn with 30% 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 0.30 [187] 0.300 0.00%   Directly set.
HeartRate(1/min) GreaterThan Moderate Segment1 (75.3) [187] 84.4   12.10% Greater tachycardia than moderate.
MeanArterialPressure(mmHg) LessThan Moderate Segment1 (95.5) [332] 95.9 0.38%   Greater hypotension than moderate due to burn shock/hypovolemia.
SystolicArterialPressure(mmHg) LessThan Moderate Segment1 (114) [332] 114   -0.33% Greater decrease than moderate.
DiastolicArterialPressure(mmHg) LessThan Moderate Segment1 (74.4) [332] 76.4 2.65%   Greater decrease than moderate.
CardiacOutput(L/min) LessThan Moderate Segment1 (5.92) [332] 6.27 6.04%   Greater reduction than moderate in early burn shock.
SystemicVascularResistance(mmHg_s/mL) GreaterThan Moderate Segment1 (0.920) [332] 0.870 -5.43%   Greater compensatory vasoconstriction than moderate.
BloodVolume(L) LessThan Moderate Segment1 (5.48) [332] 5.46   -0.46% Greater intravascular loss than moderate due to capillary leak/third spacing.
CentralVenousPressure(mmHg) LessThan Moderate Segment1 (4.71) [332] 4.80 1.96%   Further reduced preload than moderate.
Aorta-Oxygen-PartialPressure(mmHg) EqualTo Moderate Segment1 (89.2) [187] 83.7 -6.13%   Oxygenation may remain near baseline without inhalation injury; allow mild deviation.
Aorta-CarbonDioxide-PartialPressure(mmHg) LessThanEqualTo Moderate Segment1 (38.0) [187] 38.1 0.13%   Continued hypocapnia possible with hyperventilation.
OxygenSaturation EqualTo Moderate Segment1 (0.973) [187] 0.965 -0.80%   SaO2 typically preserved without inhalation injury; allow mild deviation.
RespirationRate(1/min) GreaterThan Moderate Segment1 (12.4) [187] 13.2   6.17% Greater respiratory drive than moderate.
TotalAlveolarVentilation(L/min) GreaterThan Moderate Segment1 (4.73) [187] 5.54   17.26% Higher ventilation than moderate.
EndTidalCarbonDioxidePressure(mmHg) LessThan Moderate Segment1 (36.5) [187] 36.5 0.02%   Lower ETCO2 than moderate with stronger hyperventilation.
CoreTemperature(degC) GreaterThan Moderate Segment1 (37.3) [186] 37.9   1.54% More pronounced hypermetabolic/stress response than moderate.
SkinTemperature(degC) LessThan Moderate Segment1 (28.2) [186] 29.4 4.17%   Greater heat loss impact than moderate.
TotalMetabolicRate(W) GreaterThan Moderate Segment1 (91.7) [186] 107   16.51% Greater hypermetabolic response than moderate.
UrineProductionRate(mL/min) LessThan Moderate Segment1 (0.840) [311] 0.608   -27.60% Further decreased urine output than moderate due to reduced renal perfusion.
ExtracellularFluidVolume(L) GreaterThan Moderate Segment1 (8.70) [332] 8.47 -2.70%   Greater third spacing/edema than moderate.
ExtravascularFluidVolume(L) GreaterThan Moderate Segment1 (34.0) [332] 33.8 -0.69%   Greater capillary leak-driven extravascular fluid than moderate.


Figure 2. Vitals monitor for Segment 1.


Table 2. Data requests for Segment 1.
Property Name Engine Value
Patient-Weight(kg) 76.7
ECG-Lead3ElectricPotential(mV) -0.0320
HeartRate(1/min) 84.4
HeartStrokeVolume(mL) 74.3
HeartEjectionFraction 0.545
BloodVolume(L) 5.46
ExtravascularFluidVolume(L) 33.8
ArterialPressure(mmHg) 79.1
MeanArterialPressure(mmHg) 95.9
SystolicArterialPressure(mmHg) 114
DiastolicArterialPressure(mmHg) 76.4
CardiacOutput(L/min) 6.27
HemoglobinContent(g) 821
CentralVenousPressure(mmHg) 4.80
PulmonaryCapillariesWedgePressure(mmHg) 6.17
TidalVolume(mL) 571
TotalLungVolume(mL) 2.24e+03
RespirationRate(1/min) 13.2
OxygenSaturation 0.965
CarbonDioxideSaturation 0.0262
EndTidalCarbonDioxideFraction 0.0480
EndTidalCarbonDioxidePressure(mmHg) 36.5
TotalAlveolarVentilation(L/min) 5.54
TranspulmonaryPressure(cmH2O) 4.92
CoreTemperature(degC) 37.9
SkinTemperature(degC) 29.4
RespiratoryExchangeRatio 0.719
OxygenConsumptionRate(mL/min) 354
CarbonDioxideProductionRate(mL/min) 255
GlomerularFiltrationRate(mL/min) 62.4
RenalBloodFlow(L/min) 0.802
UrineProductionRate(mL/min) 0.608
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0581
RightAfferentArterioleResistance(mmHg_min/mL) 0.0581
SystemicVascularResistance(mmHg_s/mL) 0.870
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) 112
Trachea-CarbonDioxide-PartialPressure(mmHg) 36.5
LeftLungPulmonary-Oxygen-PartialPressure(mmHg) 111
RightLungPulmonary-Oxygen-PartialPressure(mmHg) 108
LeftLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 38.1
RightLungPulmonary-CarbonDioxide-PartialPressure(mmHg) 38.9
LeftAlveoli-Oxygen-PartialPressure(mmHg) 111
LeftAlveoli-CarbonDioxide-PartialPressure(mmHg) 38.1
RightAlveoli-Oxygen-PartialPressure(mmHg) 108
RightAlveoli-CarbonDioxide-PartialPressure(mmHg) 39.0
Aorta-Oxygen-PartialPressure(mmHg) 83.7
Aorta-CarbonDioxide-PartialPressure(mmHg) 38.1
VenaCava-Oxygen-PartialPressure(mmHg) 35.7
VenaCava-CarbonDioxide-PartialPressure(mmHg) 44.9
RightTubules-Sodium-Concentration(g/L) 4.90
LeftTubules-Sodium-Concentration(g/L) 4.90
Oxygen-AlveolarTransfer(mL/min) 300
CarbonDioxide-AlveolarTransfer(mL/min) -187
Epinephrine-BloodConcentration(ug/L) 0.0361
Epinephrine-SystemicMassCleared(ug) 11.6
Norepinephrine-BloodConcentration(ug/L) 0.224
Norepinephrine-SystemicMassCleared(ug) 40.0

Scenario Output Plots


Figure 3. Select outputs from the scenario.


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