FPHC consensus statements Flashcards
How does the FPHC consensus statement divide airways burns? (2)
- Supraglottic (nose/oropharynx and larynx) - most common
- Infraglottic
How can infraglottic burns be caused?
Steam inhalation
Aspiration of scalding liquid
Blast injury
Flammable gas under pressure
Aerosolised chemicals
What are the features of infraglottic burns? (5)
- Impaired ciliary activity
- Hypersecretion
- Oedema
- Mucosal ulceration
- Bronchial spasm
What 3 considerations should be made with intubation in patients with airway burns?
- Largest size tube that will be placed (bronchoscopy on ITU)
- Uncut (airway will swell)
- Careful with tube tie
What features have been shown to correlate with need for RSI (FPHC)? (6)
- Full thickness facial burns
- Stridor
- Resp distress
- Swelling on larygnoscopy
- Smoke inhalation
- Singed nasal hairs
When does FPHC recommend using cyanide antidote?
Suspected smoke inhalation AND:
- altered mental status
- CV instability
What 3 categories of burns severity does FPHC recommend using pre-hospital?
< 20%
20-50%
> 50 %
What does FPHC say about water cooling of thermal burns? (3)
- Water < 20 degrees (12 ideal)
- 20 mins
- Not ice water secondary to risk of tissue necrosis
What does FPHC recommend with regards to first aid for chemical burns? (3)
1.Treat any chemical burn ASAP regardless of delay to presentation
- Use amphoteric solution as first line
- Irrigate for as long as possible
When does FPHC state fluid resus should be commenced pre-hospital in:-
- adults
- paeds
> 20%
What analgesia should be avoided in burns?
NSAIDs if requiring fluid resus
When does FPHC recommend chest escharatotomy?
Circumferential or near circumferential eschar with imprending or established respiratory compromise to to thoraco-abdominal burns
