Burns

Question 1

Burns
Adult Initial treatment and information

Answer 1

▪ Stop the burning process by irrigating with copious amounts of room temperature water or normal saline for 1-2 minutes. Never apply ice directly to burns.
▪ Do not attempt to remove tar, clothing, etc., if
adhered to the skin.
▪ Monitor the airway closely and consider early intubation for patients with respiratory involvement: hoarse voice, singed nasal hairs,
carbonaceous sputum in the nose or mouth, stridor or facial burns.
▪ Remove jewelry and watches from burned area.
▪ Consider Pain Management Protocol.
▪ Consider CO and/or Cyanide Poisoning.

Question 2

1st & 2nd DEGREE BURNS LESS THAN 15% BSA or 3rd DEGREE BURNS LESS THAN 5% BSA

Answer 2

Apply a dry sterile dressing or BURN SHEET

Question 3

2nd DEGREE BURNS GREATER THAN 15% BSA or 3rd DEGREE BURNS GREATER THAN 5% BSA

Answer 3

▪ Apply a dry sterile burn sheet.
▪ NORMAL SALINE: 1L. Assess lung sounds and BP every 500mL.

Question 4

ELECTRICAL BURNS

Answer 4

▪ Treat associated burns as indicated.
▪ If patient is in cardiac arrest, follow appropriate protocol.

Question 5

CHEMICAL BURNS

Answer 5

▪ Irrigate liquid chemical burns with copious amounts of water or sterile saline.
Brush off dry chemicals prior to irrigation.
▪ Remove patient’s clothing and ensure that the patient is decontaminated prior to transport, in order to avoid contaminating personnel and equipment. Personnel shall wear protective clothing and/or respiratory protection as needed when removing chemicals.

Question 6

Burns
Pediatric initial treatment and information

Answer 6

▪ Stop the burning process by irrigating with copious amounts of room temperature
water or normal saline.
▪ Do not attempt to remove tar, clothing, etc., if adhered to the skin.
▪ INTUBATE EARLY FOR RESPIRATORY INVOLVEMENT
o Tripod position/drooling, singed nasal hairs, hoarse voice/stridor and carbonaceous sputum are all indications for early airway intervention.
Consider RSI (it may be necessary to use an ETT 0.5 -1.0 mm smaller to
accommodate for swelling).
▪ Consider Pain Management Protocol.

Question 7

Pediatric 1st and 2nd DEGREE LESS THAN 15% of BSA or 3rd DEGREE BURNS LESS THAN 5% BSA

Answer 7

Apply a dry sterile dressing.
Do not apply ice directly to burns.

Question 8

Pediatric 2nd DEGREE BURNS GREATER THAN 15% BSA or 3rd DEGREE BURNS GREATER THAN 5% BSA

Answer 8

Apply a dry sterile burn sheet and keep the patient warm.
NORMAL SALINE: 20mL/kg bolus.

Question 9

Pediatric ELECTRICAL

Answer 9

Treat associated burns as indicated.
If patient is in cardiac arrest, follow appropriate protocol.

Question 10

Adult burns surface area guide

Answer 10

Head - 9%
Chest - 9%
ADB - 9%
Upper Back - 9%
Lower Back - 9%
Each Arm - 9%
Front of each Leg - 9%
Back of each Leg - 9%
Genitals -1%

Question 11

Pediatric burns surface area guide

Answer 11

Head and Neck - 21%
Each Arm - 10%
Front Torso - 13%
Back - 13%
Each Leg - 13.5%
Buttocks - 5%
Genitals - 1%