for patient referrals & burn care questions: … · 8. any patients with burns and concomitant...

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TREATMENT OF MINOR BURNS 1 STOP THE BURNING PROCESS Remove all clothing, diapers, jewelry, metal & restrictive garments DO NOT place ice or cold water on burns Obtain patient’s medical history Check tetanus status & give tetanus if last immunization was greater than 5 years ABA 2 CRITERIA FOR REFERRAL The American Burn Association has identified the following injuries as requiring referral to a burn center after initial assessment and treatment: 1. Partial thickness burns >10% TBSA 2. Burns that involve the face, hands, feet, genitalia, perineum or major joints 3. Third degree burns in any age group 4. Electrical burns, including lightning injury 5. Chemical burns 6. Inhalation injury 7. Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery or affect mortality 8. Any patients with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk of morbidity or mortality 9. Burned children in hospitals without qualified personnel or equipment for the care of children 10.Burn injury in patients who require special social, emotional/long term rehabilitative intervention For questions regarding a burn injury, regardless of size, please call 855-863-9595. AT BODY SURFACE AREA IN PERCENT AGE 15 & OVER ESTIMATE SPOTTY AREAS BY USING THE SIZE OF THE PATIENTS PALM AS 1% 0-14 YEARS FOR EACH YEAR OVER ONE: SUBTRACT 1% FROM THE HEAD ADD 1/2% TO EACH LEG ©Burn & Reconstructive Centers of Florida 3 DETERMINE DEPTH OF BURN INJURY First degree burn: pink in color, no blisters, mild to moderate pain Second degree burn: bright pink to red, blisters may be present, wet and weepy, blanches with capillary refill present, very painful. Always re-assess second degree burns for possible conversion to third degree burns. Third degree burn: dry/tight/leathery, brown/tan/waxy or pearly white, no blanching or capillary refill, relatively pain free, may initially appear to be second degree, no blisters, needs skin grafting to heal 4 TREAT MINOR BURN WOUNDS Medicate for pain prior to wound care Remove all blisters and devitalized tissue Clean the wound with an antibacterial soap & water Apply an antibacterial ointment Wrap the wound with a light gauze For dressings or skin substitute options, please call the Burn Center at 855-863-9595 Patients may follow up at one of our conveniently located Clinics WATCH FOR 5 DEVELOPEMENT OF COMPLICATIONS Infection to the burn wound Localized Cellulitis Fever, chills, or nausea Development of Eschar Lack of healing within a week Uncontrollable pain FOR PATIENT REFERRALS & BURN CARE QUESTIONS: 855.863.9595 coburncare.com

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Page 1: FOR PATIENT REFERRALS & BURN CARE QUESTIONS: … · 8. Any patients with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk of morbidity

T R E AT M E N T O F M I N O R B U R N S

1 S T O P T H E B U R N I N G P R O C E S S

Remove all clothing, diapers, jewelry, metal & restrictive garments

DO NOT place ice or cold water on burns

Obtain patient’s medical history

Check tetanus status & give tetanus if last immunization was greater than 5 years

ABA

2 CRITERIA FOR REFERRAL

The American Burn Association has identified the following injuries as requiring referral to a burn center after initial assessment and treatment:

1. Partial thickness burns >10% TBSA

2. Burns that involve the face, hands, feet, genitalia, perineum or major joints

3. Third degree burns in any age group

4. Electrical burns, including lightning injury

5. Chemical burns

6. Inhalation injury

7. Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery or affect mortality

8. Any patients with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk of morbidity or mortality

9. Burned children in hospitals without qualified personnel or equipment for the care of children

10.Burn injury in patients who require special social, emotional/long term rehabilitative intervention

For questions regarding a burn injury, regardless of size, please call 855-863-9595.

AT

B O D Y S U R FA C E A R E A I N P E R C E N T

AGE 15 &

OVER

ESTIMATE

SPOTTY AREAS

BY USING THE SIZE

OF THE PATIENTS

PALM AS 1%

0-14 YEARS

FOR EACH

YEAR OVER ONE: SUBTRACT 1%

FROM THE HEAD

ADD 1/2% TO

EACH LEG

©Burn & Reconstructive Centers of Florida

3 DETERMINE DEPTH OF BURN INJURY

First degree burn: pink in color, no blisters, mild to moderate pain

Second degree burn: bright pink to red, blisters may be present, wet and weepy, blanches with capillary refill present, very painful. Always re-assess second degree burns for possible conversion to third degree burns.

Third degree burn: dry/tight/leathery, brown/tan/waxy or pearly white, no blanching or capillary refill, relatively pain free, may initially appear to be second degree, no blisters, needs skin grafting to heal

4 TREAT MINOR BURN WOUNDS

Medicate for pain prior to wound care

Remove all blisters and devitalized tissue

Clean the wound with an antibacterial soap & water

Apply an antibacterial ointment

Wrap the wound with a light gauze

For dressings or skin substitute options, please call the Burn Center at 855-863-9595

Patients may follow up at one of our conveniently located Clinics

WATCH FOR5 DEVELOPEMENT OF COMPLICATIONS

Infection to the burn wound

Localized Cellulitis

Fever, chills, or nausea

Development of Eschar

Lack of healing within a week

Uncontrollable pain

FOR PATIENT REFERRALS & BURN CARE QUESTIONS: 8 5 5 . 8 6 3 . 9 5 9 5 coburncare.com