BURN

Question 1

Vital Considerations

Answer 1

• Is Scene Safe (Don’t make contact until scene is safe)
• Possible Abuse (Peds & Elderly)
• Pt’s Medical Hx
• Additional Secondary Physical Trauma (Fall or thrown off)
• Reverse Triage (if Lightning Strike)
• Hypothermia, Hyperkalemia, Internal Damage

Question 2

Needed Hx

Answer 2

• Type of Exposure
• Time of Injury
• Other Trauma
• Airway/Inhalation Injury

Question 3

Steps in Burn Algorithm

Answer 3

8

Question 4

Step 1

Answer 4

Remove Clothing (if not stuck to the Pt) & other restrictive items such as jewelry from all extremities

Question 5

Step 2

Answer 5

Leave Blisters intact & cover burns w/ Dry Dressing or clean Sheet

Question 6

Step 3

Answer 6

Keep Pt Warm

Question 7

Step 4

Answer 7

Initiate Fluid Resuscitation (Lactated Ringers) for Large Surface Area Burns (>10%)

Ideally TWO IV/IO Access points through Unburned Skin

Question 8

Step 5

Answer 8

Cardiac Monitor & EtCO2

Question 9

Step 6

Answer 9

Evaluate for Thermal Burns to Airway

*Airway Management ONLY if unable to Vent or Oxygenate

Question 10

Step 7

Answer 10

Consider Pain Management or Smoke Inhalation AG

Question 11

Step 8

Answer 11

Rapid Transport to Burn Center (Banner Main) w/ detailed MIST Report

Question 12

Indicators of decreasing Airway from Burn/hot inhalation

Answer 12

-Burns around nose or mouth
-Soot in mouth or nose (singed nasal hairs)
-Intraoral burns (burned tongue)
-Intraoral swelling (no stridor)
-Visible pharyngeal edema
-Hoarseness of voice
-Inspiratory stridor

Question 13

Burn Center Referral Criteria

Answer 13

-Partial thickness greater than 10%
-Face
-Hands
-Feet
-Genitalia
-Perineum
-Major joints
-Electrical burns
-Inhalation burns
-Preexisting medical disorders

Question 14

Preexisting Medical Disorders (That affect Survivability)

Answer 14

• Diabetes
• Immunosuppression
• Morbid obesity
• Pulmonary disorders
• Pregnancy
• Bleeding disorders
• Cardiac disease
• Cirrhosis

Question 15

If Cardiac Dysrhythmia Begin

Answer 15

Give Calcium Chloride & Contact Medical Control