11100 BURNS - ADULT

Question 1

BLS INTERVENTIONS

Answer 1

 Break contact with causative agent (stop the burning process).
 Remove clothing and jewelry quickly, if indicated.
 Keep patient warm.
 Estimate % TBSA burned and depth using the “Rule of Nines”.
 An individual’s palm represents 1% of TBSA and can be used to
estimate scattered, irregular burns.

Question 2

Special Considerations (list)

Answer 2

Thermal burns,Chemical burns, Tar burns, Electrical burns, Eye involvement, Determination of Death on Scene.

Question 3

Thermal Burns

Answer 3

Stop the burning process. Do not break blisters.

Cover the affected body surface with dry, sterile dressing or sheet.

Question 4

Chemical Burns

Answer 4

Brush off dry powder, if present. Remove any
contaminated or wet clothing. Irrigate with copious amounts of
saline or water.

Question 5

Tar burns

Answer 5

Cool with water, do not remove tar.

Question 6

Electrical Burns BLS

Answer 6

emove from electrical source (without
endangering self) with a nonconductive material. Cover the affected
body surface with dry, sterile dressing or sheet.

Question 7

Eye Involvement

Answer 7

Continuous flushing with NS during transport.

Allow patient to remove contact lenses if possible.

Question 8

Determination of Death on Scene:

Answer 8

Refer to ICEMA Reference 
#12010 - Determination of Death On Scene.

Question 9

ALS INTERVENTIONS (list)

Answer 9

Advanced Airway, Airway stabilization, Monitor EC,IV/IO, Pain relief, Nasogastric/ Orogastric, Burn classification.

Question 10

Burn patients with respiratory compromise or potential for such

Answer 10

Pt will be
transported to the closest most appropriate receiving hospital for airway
stabilization.

Question 11

IV fluid temp

Answer 11

Warm when available

Question 12

Unstable IV/IO

Answer 12

BP <90mmHG and/or signs of inadequate tissue
perfusion, start 2nd IV access.
IV/IO NS 250 ml boluses, may repeat to a maximum of 1000 ml.

Question 13

Stable IV/IO

Answer 13

IV/IO NS 250 ml boluses, may repeat to a maximum of 1000 ml.

Question 14

Pain Relief

Answer 14

Fentanyl per ICEMA Reference #7040 - Medication -
Standard Orders. Document BP and pain scale every five (5) minutes while
medicating for pain and reassess the patient.

Question 15

Transport to appropriate facility:

Answer 15

 CTP with associated burns, transport to the closest Trauma Center.
 Burn patients with associated trauma, should be transported to the
closest Trauma Center. Trauma base hospital contacted shall be
made.

Question 16

Electrical Burns:

Answer 16

Monitor for dysrhythmias, treat according to
ICEMA protocols.
 Electrical injuries that result in cardiac arrest shall be treated
as medical arrests.

Question 17

Respiratory Distress(list)

Answer 17

Intubation, Albuterol, humidified O2, Capnography, Contraindication for Nasal Tracheal, CPAP considerations.