Pre-Hospital Management of Burn Injuries

*** Contains Graphic Images of Burn Injuries***

Pre-Hospital Management of Burn Injuries

1 / 5

Cover burn wounds with clean dry dressings and monitor urine output and titrate up on fluids ad needed

2 / 5

Burn Center Transfer Criteria:

Partial thickness burns involving greater than 10% TBSA

Burns to the face, hands, feet, genitalia, perineum, or major joint

Full thickness burns

Chemical burns

Electrical burns

Inhalation injury

Multiple medical co-morbidities

Extremes of age, (children, elderly)

Concomitant Traumatic injuries

Special social, emotional, or rehabilitation needs

3 / 5

Immediately after a burn injury most vital signs are normal, but:

Expect tachycardia

Prevent hypothermia

Be concerned about tachypnea (RR >25) and reports of feeling short of breath

For hypotension, look for other causes (trauma, medications)

4 / 5

Smaller burns <20% TBSA do not result in major changes

Big changes happen for larger burn injuries, >20% TBSA (total body surface area)

Destruction of normal tissue barriers

Introduces significant fluid shifts

Changes every major body system

5 / 5

Burn wounds evolve considerably over the first 72 hours –the severity and degree may not be immediately clear.

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