Bur

ns

Air M

etho

ds C

orpo

ratio

nCo

mm

unity

Bas

ed S

ervi

ces

Aut

hore

d by

:R

ache

l Kub

alek

, RN

, CFR

NTe

athe

r Cam

pbel

l, R

N, C

FRN

Obj

ectiv

es

.Li

st b

urns

by

the

type

of c

ausa

tive

fact

ors

(che

mic

als,

exp

osur

es, e

lect

rical

, etc

.).

Iden

tify

trea

tmen

t mod

aliti

es, i

nclu

ding

air

way

m

anag

emen

t, pa

in c

ontr

ol, a

nd fl

uid

resu

scita

tion

.Ca

lcul

ate

burn

per

cent

ages

, and

siz

e es

timat

ion

.Li

st tr

ansp

ort m

odal

ities

and

leve

l of c

are

Bur

ns-In

trod

uctio

n

Epid

emio

logy

Initi

al m

anag

emen

tTr

eatm

ent

Asso

ciat

ed In

jurie

s

http

s://

new

york

tour

s.w

ordp

ress

.com

/20

14/

03

/14

/the

-alm

ost-t

rue-

stor

y-of

-the-

orig

in-o

f-st-p

atric

ks-d

ay-in

-nyc

/

Epid

emio

logy

013

fact

s fr

om A

mer

ican

Bur

n As

soci

atio

n:B

urn

inju

ries

acco

unt f

or a

n es

timat

ed 4

50

,00

0

annu

al e

mer

genc

y de

part

men

t (ED

) vis

its p

er y

ear

45

,00

0 re

quire

hos

pita

lizat

ion

Appr

oxim

atel

y 6

0%

of t

hese

pat

ient

s ar

e ho

spita

lized

at o

ne o

f the

12

5 s

peci

aliz

ed b

urn

trea

tmen

t cen

ters

in th

e U

nite

d St

ates

Epid

emio

logy

34

00

dea

ths

per y

ear a

re re

late

d to

fir

e/bu

rn/a

nd s

mok

e in

hala

tion

(nat

ion

wid

e).

Neb

rask

a ha

s St

Eliz

abet

h bu

rn c

ente

r tha

t is

acc

redi

ted

by th

e Am

eric

an B

urn

Cent

er.

96

.6%

of a

dmis

sion

s to

bur

n ce

nter

s fr

om

20

03

-201

2 s

urvi

ve.

Epid

emio

logy

With

tem

ps >

12

0 d

egre

es F

ahre

nhei

t, it

take

s on

ly 3

sec

onds

to b

urn

a ch

ild's

ski

n se

vere

ly e

noug

h to

requ

ire s

urge

ry

http

://w

ww

.doc

umen

tingr

ealit

y.co

m/f

orum

/f1

49

/chi

ldre

n-bu

rned

-hot

-cof

fee-

14

46

29

/

Mec

hani

cs a

nd C

ausa

tive

Fact

ors

–Th

erm

al•

Flam

e•

Scal

d•

Flas

h•

Cont

act

–Ch

emic

al–

Rad

iatio

n–

Elec

tric

ity–

Ligh

tnin

g–

Fros

tbite

http

://w

ww

.doc

umen

tingr

ealit

y.co

m/f

orum

/f1

49

/chi

ldre

n-bu

rned

-hot

-co

ffee

-14

46

29

/

Ther

mal

: Fla

me

Mos

t Com

mon

http

://t

heaw

aken

eddr

eam

er.c

om/2

011

/12

/01

/whe

n-th

e-ho

use-

burn

s-do

wn/

Ther

mal

Sca

ld

Seco

nd m

ost c

omm

on b

urn

Hig

hest

in th

e pe

diat

ric p

opul

atio

nIm

mer

sion

bur

ns in

volv

e de

eper

tiss

ue

stru

ctur

esCo

nsid

er a

buse

http

://w

ww

.med

bc.c

om/a

nnal

s/re

view

/vol

_11

/num

_3/t

ext/

vol1

1n3

p17

1.h

tm

Flas

h B

urns

//w

ww

.em

swor

ld.c

om/a

rtic

le/1

08

39

93

3/b

urn-

care

http://burnssurgery.blogspot.com/2012/01/hand-burns-thermal-

cracker_18.html

Con

tact

Bur

ns

Liqu

idSe

mi-l

iqui

d, (T

ar, s

olve

nts,

wat

er, e

tc.)

Obj

ects

://c

hem

istr

ybys

cott

.org

/che

mic

al_b

urns

.htm

http://wwwbarryevanscom/injury4html

Elec

tric

al B

urns

Dam

age

is re

late

d Am

ount

of t

issu

e co

nduc

ting

the

curr

ent

Flow

of e

lect

ricity

whi

ch is

:–

Ampe

rage

(flo

w o

f cur

rent

)–

Volta

ge (a

mou

nt o

f cur

rent

)–

Res

ista

nce

or c

ondu

ctiv

ity o

f flu

ids

and

tissu

e AC

(Alte

rnat

ing

curr

ent)

has

a

high

er in

cide

nce

of m

yoca

rdia

l fib

rilla

tion

than

DC

(Dire

ct

curr

ent)

http

s://

ww

w.s

tudy

blue

.com

/not

es/n

ote/

n/ph

ysic

al-a

nd-c

hem

ical

-in

jurie

s/de

ck/8

50

91

3

http://www.forensicmed.co.uk/wounds/burns/chemical-and-electrical-burns/

Elec

tric

al B

urns

Entr

ance

Wou

ndH

igh

resi

stan

ce o

f ski

n tr

ansf

orm

s el

ectr

ical

ene

rgy

into

hea

t, w

hich

pro

duce

s bu

rns

arou

nd th

e en

tran

ce p

oint

(dar

k sp

ot in

cen

ter o

f wou

nd)

http

://b

urns

surg

ery.

blog

spot

.com

/201

3/1

0/e

lect

rical

-con

tact

-bur

ns-s

pine

-exp

osed

.htm

l

Alte

rnat

ing

Cur

rent

(AC

)

Low

vol

tage

AC

elec

troc

utio

n –

thre

e tim

es m

ore

dang

erou

s th

an D

C cu

rren

t at

the

sam

e vo

ltage

With

AC

elec

troc

utio

n-

cont

inuo

us m

uscl

e co

ntra

ctio

ns m

ay o

ccur

-si

nce

the

mus

cle

fiber

s ar

e st

imul

ated

at

betw

een

40

to 1

10 ti

mes

per

seco

nd.

Alte

rnat

ing

Cur

rent

(AC

)

Volta

ge a

nd ty

pe o

f cur

rent

–U

nite

d St

ates

and

Can

ada

is 1

10V

& s

ome

22

0V

–La

rger

hou

seho

ld, i

ndus

tria

l app

licat

ions

suc

h as

sho

ps,

man

ufac

turin

g pl

ants

, etc

., an

d ce

nter

piv

ot ir

rigat

ion

syst

ems

may

hav

e as

hig

h as

44

0 V

Alte

rnat

ing

Cur

rent

(AC

)

–Po

wer

line

s an

d el

ectr

ical

tran

sfor

mer

s co

nstit

ute

high

-vol

tage

ene

rgie

s an

d in

volv

e ov

er

60

0 v

olts

–B

y de

finiti

on, h

igh-

tens

ion

inju

ries

invo

lve

curr

ents

of g

reat

er th

an 1

00

0 v

olts

Exam

ple

of A

C C

urre

nt

Cont

act e

lect

rical

bu

rns,

–

12

0-V

alte

rnat

ing

curr

ent.

The

right

kne

e w

as th

e en

ergi

zed

side

, and

the

left

was

gro

und.

–

Thes

e ar

e co

ntac

t bur

ns

and

are

diff

icul

t to

dist

ingu

ish

from

th

erm

al b

urns

.

http

s://

ww

w.o

sha.

gov/

SLTC

/eto

ols/

cons

truc

tion/

elec

tric

al_i

ncid

ent

s/bu

rn_e

xam

ples

.htm

l

Dir

ect

Cur

rent

Hig

h vo

ltage

dire

ct c

urre

nt (D

C) e

lect

rocu

tion

tend

s to

cau

se a

sin

gle

mus

cle

cont

ract

ion

–th

row

ing

its v

ictim

from

the

sour

ce–

Mor

e bl

unt t

raum

a

Dir

ect

Cur

rent

Dire

ct c

urre

nt e

lect

rocu

tion

can

also

cau

se

card

iac

dysr

rhyt

hmia

s

–de

pend

ende

nt o

n th

e ph

ase

of th

e ca

rdia

c cy

cle

Exit

Wou

nd

Curr

ent f

low

s th

roug

h th

e bo

dy fr

om th

e en

tran

ce p

oint

, unt

il fin

ally

exi

ting

whe

re

ther

e is

a g

roun

ding

sou

rce

This

foot

suf

fere

d m

assi

ve in

tern

al in

jurie

s,

whi

ch w

eren

't re

adily

vis

ible

, and

had

to b

e am

puta

ted

a fe

w d

ays

late

r

http

s://

ww

w.o

sha.

gov/

SLTC

/eto

ols/

cons

truc

tion/

elec

tric

al_i

ncid

ents

/bur

n_ex

ampl

es.h

tml

Arc

h B

urns

•Th

is m

an w

as n

ear a

pow

er b

ox w

hen

an e

lect

rical

ex

plos

ion

occu

rred

. •

Thou

gh h

e di

d no

t tou

ch th

e bo

x–

elec

tric

ity a

rced

thro

ugh

the

air a

nd e

nter

ed h

is b

ody.

–

The

curr

ent w

as d

raw

n to

his

arm

pits

bec

ause

pe

rspi

ratio

n is

ver

yco

nduc

tive

http

s://

ww

w.o

sha.

gov/

SLTC

/eto

ols/

cons

truc

tion/

elec

tric

al_i

ncid

ents

/bur

n_ex

ampl

es.h

tml

Ther

mal

Con

tact

Bur

ns

Curr

ent e

xite

d th

is m

an a

t his

kne

es,

catc

hing

his

clo

thin

g on

fire

and

bur

ning

his

up

per l

eg

http

s://

ww

wos

hago

v/SL

TC/e

tool

s/co

nstr

uctio

n/el

ectr

ical

inci

dent

s/bu

rnex

ampl

esht

ml

Inte

rnal

Inju

ries

This

wor

ker w

as e

nerg

ized

thro

ugh

a to

ol h

e w

as h

oldi

ng. T

he e

ntra

nce

wou

nd a

nd

ther

mal

bur

ns fr

om th

e ov

erhe

ated

tool

are

no

ted…

http

s://

ww

w.o

sha.

gov/

SLTC

/eto

ols/

cons

truc

tion/

elec

tric

al_i

ncid

ents

/bur

n_ex

ampl

es.h

tml

Inte

rnal

Inju

ries

: Sam

e H

and

Sam

e ha

nd a

few

day

s la

ter,

whe

n m

assi

ve

subc

utan

eous

tiss

ue d

amag

e ha

d ca

used

se

vere

sw

ellin

g (s

wel

ling

usua

lly p

eaks

24

-7

2 h

ours

aft

er e

lect

rical

sho

ck)

http

s://

ww

w.o

sha.

gov/

SLTC

/eto

ols/

cons

truc

tion/

elec

tric

al_i

ncid

ents

/bur

n_ex

ampl

es.h

tml

Invo

lunt

ary

Mus

cle

Con

trac

tion

This

wor

ker f

ell a

nd g

rabb

ed a

pow

er li

ne to

ca

tch

him

self.

–

resu

lting

ele

ctric

sho

ck m

umm

ified

his

firs

t tw

o fin

gers

, whi

ch h

ad to

be

rem

oved

. –

acut

e an

gle

of th

e w

rist w

as c

ause

d by

bur

ning

of

the

tend

ons,

whi

ch c

ontr

acte

d, d

raw

ing

the

hand

with

them

.

Ligh

tnin

g In

juri

es

Seco

nd m

ost f

requ

ent c

ause

of s

torm

re

late

d de

aths

. U

sual

ly c

ause

s su

perf

icia

l bur

ns, w

ith d

eep

tissu

e pe

netr

atio

n fr

om th

e cu

rren

t.M

ay c

ause

asy

stol

e or

fibr

illat

ion.

Shor

t or l

ong

term

hea

ring

loss

or c

hang

es.

Visi

on c

hang

es o

r ear

ly c

atar

acts

.

Mec

hani

sms

of In

jury

Ligh

tnin

g in

jury

-5 b

asic

mec

hani

sms

–D

irect

str

ike

–Fl

ash

disc

harg

e (s

plas

h)–

Cont

act

–G

roun

d cu

rren

t (st

ep v

olta

ge)

–B

lunt

trau

ma

Dir

ect

Ligh

teni

ng S

trik

es

Out

side

, hik

ing,

by

a ta

ll ob

ject

, etc

.Ca

rryi

ng m

etal

obj

ects

Met

al w

orn

in th

e ha

ir (h

airp

in)

–In

crea

ses

the

chan

ces

of a

dire

ct s

trik

e co

mpa

red

with

a

met

al o

bjec

t wor

n lo

wer

on

the

body

–As

soci

ated

with

hig

h m

orbi

dity

bec

ause

they

freq

uent

ly

invo

lve

the

head

. –

May

cau

se h

earin

g lo

ss, c

atar

acts

, art

hriti

s, e

tc.

Flas

h D

isch

arge

Stru

ck b

y a

flash

dis

char

ge o

r sid

e im

pact

fr

om a

noth

er s

truc

k ob

ject

Sp

lash

inju

ry a

lso

occu

rs fr

om p

erso

n to

pe

rson

whe

n se

vera

l peo

ple

are

stan

ding

cl

ose

toge

ther

Pat

hoph

ysio

logy

Ligh

tnin

g in

jury

diff

ers

from

com

mer

cial

hi

gh-v

olta

ge e

lect

ric in

jury

Brie

f Dur

atio

nD

irect

Cur

rent

Hig

h te

mpe

ratu

reSo

nic

wav

esFl

ash

burn

sCo

-mor

bid

trau

ma

Pat

hoph

ysio

logy

As li

ghtn

ing

follo

ws

the

shor

test

rout

e be

twee

n co

ntac

t poi

nts

of th

e hu

man

bod

y–

it m

ay in

volv

e vi

tal s

truc

ture

s in

its

path

.–

Alm

ost e

very

org

an s

yste

m is

vul

nera

ble.

–A

wid

e va

riety

of c

ompl

icat

ions

can

resu

lt fr

om

dam

age

to th

ese

orga

n sy

stem

s.

Che

mic

al B

urns

Safe

ty fo

r you

and

you

r col

leag

ues

Inju

ry d

epen

dent

on

the

conc

entr

atio

n an

d th

e du

ratio

n of

the

expo

sure

Acid

or

Alka

li–

Irrig

ate

stro

ng a

cids

or a

lkal

i exp

osur

es fo

r at

leas

t 30

-60

min

utes

–Co

ntin

uous

irrig

atio

n if

eye

is e

xpos

ed to

ch

emic

als

Che

mic

al B

urn-

Alk

ali

http://pixshark.com/chemical-burns-in-eye.htm

Che

mic

al B

urn-

Aci

d

http://mayhaila.deviantart.com/art/Theatrical-special-effect-burn-

292818760

Rad

iatio

n

Sunb

urn

Rad

iatio

n th

erap

y

Sun

burn

Dam

age

With

in 2

hou

rs a

fter

UV

expo

sure

, dam

age

to

epid

erm

al s

kin

cells

is s

een.

Sun

Pro

tect

ion

http://www.wisn.com/weather/Weather-Blog-Suntastic-Means-Be-Sun-

Smart/15461056

Fros

tbite

As th

e tis

sue

cool

s, ic

e cr

ysta

ls fo

rm, c

ell

dehy

drat

ion

follo

ws

with

cel

l dea

thR

ewar

m w

ith 4

0 d

egre

e C

wat

er

Do

not r

ub o

r use

any

fric

tion

Pat

hoph

ysio

logy

Card

iova

scul

ar

Ren

al

Met

abol

ism

Imm

une

Syst

em

Gas

troi

ntes

tinal

htt

ps:/

/ww

w.p

inte

rest

.com

/pin

/33

41

81

23

48

23

05

95

63

/

Sce

ne/E

R S

afet

y

Ensu

re th

e bu

rnin

g pr

oces

s is

sto

pped

Dec

onta

min

atio

n-Th

e ca

usat

ive

sour

ce is

re

mov

ed

Pri

mar

y A

sses

smen

t

Early

& a

ggre

ssiv

e ai

rway

man

agem

ent

incl

udin

g c-

spin

e pr

otec

tion

if ne

cess

ary

Bre

athi

ng

Usu

ally

invo

lves

the

uppe

r air

way

abo

ve th

e gl

ottis

May

hav

e a

dela

yed

onse

tCh

emic

al in

volv

emen

t may

cau

se lo

wer

ai

rway

dam

age

Carb

on M

onox

ide

Cir

cula

tion

2 la

rge

bore

IVs

with

LR

Cons

ensu

s fo

rmul

a (fo

rmer

ly P

arkl

and

burn

form

ula)

Trea

t for

all

inju

ries

Mon

itor U

OP

–Ad

ults

->3

0-5

0 m

ls/h

r–

Pedi

atric

s-1

-2 m

ls/k

g/hr

http://img.medscape.com/pi/emed/ckb/emergency_medicine/756148-

769193-367tn.jpg

http://studydroid.com/index.php?page=viewPack&packId=531561

Lets

Cal

cula

te a

Per

cent

age

Flui

d C

alcu

latio

n

Acco

rdin

g to

Adv

ance

d B

urn

Life

Su

ppor

t(2

011

)Co

nsen

sus

Form

ula:

–2

ml p

er k

g X

perc

enta

ge o

f bur

n–

Giv

e th

e fir

st h

alf o

ver t

he fi

rst 8

hou

rs fr

om

onse

t of b

urn

–G

ive

the

seco

nd h

alf o

ver t

he re

mai

ning

16

ho

urs

Ped

iatr

ic C

alcu

latio

n

9 m

onth

old

,10

kg

patie

nt b

roug

ht to

ER

–se

cond

and

third

deg

ree

burn

s:•

to c

hest

, abd

omen

, scr

otal

are

a, u

pper

righ

t arm

and

pa

lm o

f rig

ht h

and.

http

://w

ww

.aob

bang

lade

sh.o

rg/n

ode/

207

http

://e

med

icin

e.m

edsc

ape.

com

/art

icle

/76

91

93

-ove

rvie

w

Ped

iatr

ic F

luid

Cal

cula

tion

Per A

dvan

ced

Bur

n Li

fe S

uppo

rt (A

BLS

):�

Child

ren:

2-4

ml L

Rx

Kg

body

wei

ght x

% B

SA b

urn

�

Hal

f adm

inis

tere

d in

the

first

8 h

ours

pos

t bur

n.

�Th

e re

mai

ning

hal

f the

nex

t 16

hou

rs

http://www.healthofchildren.com/I-K/Intravenous-Rehydration.html

Ped

iatr

ic U

rina

ry O

utpu

t

The

fluid

infu

sion

rat

e sh

ould

be

incr

ease

d or

de

crea

sed

by o

ne-th

ird�

if th

e ur

inar

y ou

tput

falls

bel

ow o

r exc

eeds

the

desi

red

leve

l by

mor

e th

an o

ne-th

ird fo

r tw

o to

th

ree

hour

s. (C

hild

ren

<3

0 k

g U

OP

goal

=

1m

l/kg

/hr)

http://admalmenevo.ru/?q=Urine+Output+Calculator

Infa

nt F

luid

Cal

cula

tion

Infa

nts

< 1

2 m

onth

s an

d yo

ung

child

ren:

Fl

uid

with

5%

dex

tros

e at

a m

aint

enan

cera

te in

add

ition

to th

e re

susc

itatio

n flu

id

note

d ab

ove.

Ped

iatr

ic F

luid

Cal

cula

tion

(con

t.)

2 m

l per

kg

X %

of b

urn.

Pt w

eigh

t is

10kg

.2

ml X

10

X 2

0.5

= 4

20

ml o

ver 2

4 h

ours

.21

0 m

l is

give

n in

the

first

8 h

ours

from

the

onse

t of b

urn

(run

at 2

6 m

l/hr

)

»AB

LS 2

011

Dis

abili

ty

Neu

ro a

sses

smen

t bef

ore

and

afte

r sed

atio

n an

d pa

raly

tics.

Asse

ss fo

r circ

umfe

rent

ial b

urns

. M

onito

r pu

lses

, mot

or a

nd s

ensa

tion

dist

al to

the

inju

ry.

Mon

itor f

or c

ompa

rtm

ent s

yndr

ome

Pai

n M

anag

emen

t

Aggr

essi

vely

trea

t and

man

age

pain

If th

e pa

tient

is n

ot in

tuba

ted,

adm

inis

ter

IV

opio

ids

in s

mal

l bol

uses

and

titr

ate

to e

ffec

t.M

onito

r clo

sely

for r

espi

rato

ry d

epre

ssio

n.An

xiol

ytic

s su

ch a

s At

ivan

may

be

nece

ssar

y.Co

nsid

er in

tuba

tion

if pa

in c

ontr

ol is

in

adeq

uate

.

Pai

n M

anag

emen

t (c

ont.)

Expo

sure

Afte

r the

bur

ning

pro

cess

is s

topp

ed, r

emov

e w

et c

loth

es,

blan

kets

, etc

Cove

r with

cle

an d

ry s

heet

s or

bla

nket

s (T

hey

do n

ot n

eed

to b

e st

erile

). A

void

wet

dre

ssin

gs a

s th

ey c

an c

ause

hy

poth

erm

ia.

Mai

ntai

n te

mpe

ratu

re, a

void

hyp

othe

rmia

https://ispubcom/IJS/21/2/5354

Sec

onda

ry S

urve

y

Chec

k fo

r ass

ocia

ted

trau

ma.

Es

timat

e bu

rn s

ize

Pts

palm

=ap

prox

. 1%

of b

urne

d ar

ea

//w

ww

.am

bons

all.c

om/N

SWR

esus

Bur

nsFl

uids

.htm

http

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ww

.raem

s.co

m/a

rtic

les/

park

land

.htm

If in

Dou

bt

CALL

YO

UR

BU

RN

CEN

TER

http

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ww

.json

line.

com

/new

s/he

alth

/bur

n-ce

nter

-jo

bs-s

tres

sful

-rew

ardi

ng-4

s6ov

1b-

16

90

67

62

6.h

tml

Spe

cial

Con

side

ratio

ns

Pedi

atric

Pop

ulat

ion

http://www.dailymail.co.uk/news/article-2389972/Three-month-old-baby-boy-

suffers-horrifying-burns-spontaneously-bursting-flames-fourth-time.html

Bra

nd B

urns

The

impr

int o

f a h

ot o

bjec

t:–

Curli

ng ir

on o

r fla

t iro

n

http

://w

ww

.thes

un.c

o.uk

/sol

/hom

epag

e/ne

ws/

scot

tishn

ews/

27

5760

4/To

t-Kay

la-M

urra

y-ge

ts-4

40

-deg

ree-

burn

s-fr

om-h

air-s

trai

ghte

ners

.htm

l

Cig

aret

te B

urns

Ciga

rett

e bu

rns

are

circ

ular

, –

8 to

10

mm

in d

iam

eter

, and

of u

nifo

rm d

epth

Th

ese

burn

s m

ay b

e di

ffic

ult t

o di

stin

guis

h fr

om im

petig

o–

But

the

latt

er in

volv

es s

uper

ficia

l ski

n la

yers

and

occ

urs

in c

rops

http

://j

effr

eyst

erlin

gmd.

com

/tag

/bur

n/

Cig

aret

te B

urns

Ciga

rett

e bu

rns

usua

lly a

re th

ird-d

egre

e, d

eep,

and

re

lativ

ely

pain

less

:–

Occ

ur o

n th

e fa

ce o

r on

the

dors

a of

the

hand

s or

feet

. –

Impe

tigo

heal

s cl

eanl

y w

ith a

ntib

iotic

ther

apy

–W

here

as c

igar

ette

bur

ns h

eal s

low

ly a

nd le

ave

scar

s

http

://w

ww

.abu

sew

atch

.net

/chi

ld_m

edim

age.

php

Cig

aret

te v

s. Im

petig

o

http

://w

ww

.doc

tors

hang

out.c

om/f

orum

/top

ics/

poss

ible

-chi

ld-a

buse

http

://b

estp

ract

ice.

bmj.c

om/b

est-p

ract

ice/

mon

ogra

ph/4

76

/res

ourc

es/i

mag

es.h

tml

Imm

ersi

on b

urns

Imm

ersi

on b

urns

usu

ally

are

see

n on

the

butt

ocks

or l

egs,

or i

n a

stoc

king

or g

love

di

strib

utio

n on

the

extr

emiti

esU

nifo

rm d

epth

, with

a s

harp

line

of

dem

arca

tion

betw

een

burn

ed a

nd n

orm

al

skin

Tran

sfer

Cri

teri

a

Tran

sfer

to a

bur

n ce

nter

:–

Part

ial t

hick

ness

bur

ns >

10

% T

BSA

–B

urns

to fa

ce, h

ands

, fee

t gen

itals

, per

ineu

m o

r jo

ints

–An

y 3

rd d

egre

e bu

rns

–El

ectr

ical

–

Chem

ical

–In

hala

tion

Sum

mar

y.

Stop

the

burn

ing

proc

ess

.Ag

gres

sive

air

way

man

agem

ent

.Ad

equa

te fl

uid

resu

scita

tion

.M

aint

ain

war

mth

aft

er e

xpos

ure

.An

alge

sia

.B

urns

are

dis

trac

ting,

look

for o

ther

inju

ries

Que

stio

ns?

Ref

eren

ces

WW

W.C

DC.

com

Trau

ma

Nur

sing

Cor

e Co

urse

, 7th

editi

on, c

opyr

ight

201

4 b

y EN

AW W

endl

ing,

P.,

thin

k pl

astic

wra

p as

wou

nd d

ress

ing

for

ther

mal

bur

ns,A

CEP

New

s, E

lsev

ier G

loba

l Med

ical

New

sAm

eric

an B

urn

Asso

ciat

ion

2013