Burns Flashcards
Burns considered RTC
Any burn with associated smoking inhalation injury
Second degree burns to more than 10% of the body surface
Third degree burns to more than 2% of the body surface
Significant burns involving the face
Burns encircling a limb
Major burns to the hands, feet, or genitalia
All electrical burns
All chemical burns
Rule of nines
Head and neck 9% Anterior trunk 18% Posterior trunk and buttocks 18% Each arm 9% Each hand 1% Perineum 1% Anterior leg and foot each 9% Posterior leg and foot each 9%
With Burns, the single most important initial consideration is the patients
Airway
Major burn wound management
Cooling for some first and second degree burns
Remove burned clothing
Remove rings, wristwatches, and footwear if possible
Elevate burned extremities if possible
Do not break blisters
Do not apply creams, ointments, or topical anesthetics to Burns
Apply wet dressings to Burns less than 20% of the body surface
Apply dry dressings to Burns exceeding 20% of the body surface
After burns are dressed, cover the patient with blankets
Monitor the patients ABCs frequently on route to the hospital
Minor burn care
First degree burn to less than 50%, relieved by Cold water compresses
Cooling should be applied only to a maximum 20% of the body at any one time
Second-degree burns same as first degree. DO NOT BREAK BLISTERS
Third-degree burns should be referred to medical attention ASAP
Treatment of tar burns
If coverage is less than 20% of the body surface, immersing in Cool water for 10 to 15 minutes
If greater than 20%, 5 to 10 minutes is enough