Adult Burn Management Flashcards
Adult Burn Management - Initial actions
Cool burn Remove clothing and jewelry BSA > 10% - dry dressing BSA < 10% - cool moist dressing Consider IRP
Adult Burn Management - Do not attempt to cool burn after how long has passed?
30 minutes
Adult Burn Management - Should dry chemicals be flushed with water?
No, unless they are in the eyes. Water can worsen the burn
Adult Burn Management - Removed wet dressings from burns > what % to prevent what?
BSA > 10% to prevent hypothermia
Adult Burn Management - 2nd or 3rd degree burns greater than 10% BSA Tx?
500 ml NS to maintain normotension. Max 3L
Adult Burn Management - Critical burn criteria? (6)
2nd or 3rd degree >20% BSA
Any full thickness burn >5% BSA
Any partial or full thickness burn to the face, neck, hands, perineum, involving a major joint or feet
Any burn with potential airway involvement
Any high voltage electrical burn
Non residential chemical Burns
Adult Burn Management - How long to irrigate eyes?
At least 15 minutes. 30 if substance is known to be an alkali
Adult Burn Management - Decision to intubate in an impending airway burn should be made on? (4)
Decreased LOC
Rapid onset of severe dyspnea unresponsive to treatment
Rapid progression of airway edema
Patient in extremis displaying signs of respiratory collapse