Burn Triage Protocol

Question 1

How many Criteria?

Answer 1

5

Question 2

Criteria 1

Answer 2

Partial thickness burns ≥ 10% total body surface area (TBSA)

Question 3

Criteria 2

Answer 3

Full thickness burns ≥ 5% TBSA significant burns that involve the:

• Face
• Hands
• Feet
• Genitalia
• Perineum
• Major joints

Question 4

Criteria 3

Answer 4

Electrical/Lighting Burns

Question 5

Criteria 4

Answer 5

Inhalation Injury

Question 6

Criteria 5

Answer 6

Significant burn injury in Pts w/ pre-existing medical disorders
that could complicate management, prolong recovery, or affect
mortality, such as:

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

Question 7

Initial Actions/Considerations

Answer 7

• General Impression
• LOC
• ABC’s (O2, Vent)/Consider Airway Management if suspected
• Remove Clothes, Jewelry, or other constrictive Items
• Keep Warm
• HX & Vitals
• Determined Burn TBSA or Circumferential Burns
• Consider Abuse (Elderly/Ped)
• No IM Pain Meds thru Burnt skin
• If Electrical in Nature, ensure scene safety 1st & anticipate arrhythmias (3 lead)
• Lighting = Reverse Triage

Question 8

TX

Answer 8

• 2 Large Bore IV/IO Access & LR (if >10%)
• Leave Blisters intact & cover w/ a Burn Sheet/Dry Sterile Dressing/Clean Sheet
• Pain management (Ketamine)
• Cardiac Monitor & End Tidal
• Calcium & Albuterol (Compartment Syndrome)
• Provide Direct Etele & Rapid Transport