Burn Standard Flashcards
Life/limb/function threats
- Airway burns
- Asphyxia (smoke inhalation)
- Carbon monoxide/cyanide poisoning
-Shock
What things do you attempt to determine?
- source of burn
If the source of the burn is fire determine;
- if the fire is in an enclosed space
- if pt was unconscious or lost consciousness during exposure to fire/fumes/smoke
What is the very first thing you do?
Figure out if pt is in smoke/fume filled environment. If they are contact fire personnel to move them to fresh air.
After you determine the source of burn and fire related details;
Stop the burning process
What are considerations with clothing when it comes to burns?
Remove clothing surrounding injury expect where clothing is adhered to burn.
What are the minimum components of secondary survey burn assessment?
- location burned
- burn depth (degree)
- percentage of bodies surface area burned
- signs of smoke inhalation/upper airway injury
- asses distal neurovascular status on burned extremities
- follow the visual disturbance standard and if eyes are swollen shut leave them shut
What are the signs of smoke inhalation and upper airway injury?
- burn to lips or mouth
- carbon particles in saliva or sputum
- coughing
- drooling
- stridor or hoarseness of voice
- audible wheezing
- shallow respirations
- tachypnea
- facial burns
- singed nasal hair/eyebrows
- shortness of breath
What are some additional problems you may encounter from burns
- airway obstruction
- airway burns (bronchospasm, orolingual, and laryngeal edema)
- respiratory distress/arrests
- agitation and combativeness
What is the treatment for 1st degree burns.
Cover first degree burns with moist dressing then cover with dry sheet.
What is the treatment for 2nd degree burns?
A burn that’s less than 15% of surface area of body use moist dressing and cover with dry sheet.
A burn that’s equal to or over 15% of surface area of body use dry dressing
What is the treatment for 3rd degree burns.
Cover with dry dressing.
What do you do with blisters?
Leave them intact.
What do you do when digits (fingers and toes) are burnt?
Wrap each them individually.
For all burns equal to or above __%, __ is the maximum time you want a wet dressings on to prevent hypothermia
15% and 30 minutes
If you’re attempting to cool a pt with moist dressings, what are signs you should stop?
Shivering and hypotension
Steps you need to do when actively cooling a burn?
Take off dry dressing, and remoisten the already applied dressing (don’t remove dressing).
While you’re with the pt make sure the patient stays ____.
Warm
