Emergency Medicine Book

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Burn Management

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  1. See Also
    1. Burn Evaluation
  2. General Pointers
    1. Use Narcotics intravenously (avoid intramuscular use)
    2. Avoid antibiotics until infection occurs
    3. Do not break Blisters
    4. Do not cover burns with Silvadene if transporting
      1. Obscures lesions for primary burn team
      2. Burn team will apply Silvadene after their evaluation
    5. Do not apply cold water
  3. Management
    1. Assess Inhalation injury
      1. Arterial Blood Gas (ABG)
      2. Carboxyhemoglobin
        1. Dive Chamber indicated for level >40
    2. Assess Fluid status
      1. Urine Output minimums
        1. Adult: 30-50 cc per hour
        2. Child: 1 cc per hour
      2. Intravenous requirements for insensible loss
        1. Administer 2-4 ml Ringers Lactate per kg per %BSA
        2. Divide rehydration over 24 hours
          1. Give 50% over first 8 hours since burn
          2. Give second 50% over next 16 hours
  4. Criteria for transfer to burn center
    1. Age under 10 years or over 50 years
      1. Second or third degree burn involving 10% BSA
    2. All Other Ages
      1. Second or third degree burn involving 20% BSA
      2. Third degree burn involving 5% BSA
    3. Any burns of high risk areas
      1. Face
      2. Eyes
      3. Ears
      4. Hands
      5. Feet
      6. Genitals
    4. Electrical Burns
    5. Inhalation injury

Burns care (C1318600)

ConceptsBiomedical Occupation or Discipline (T091)
EnglishBurns care, Burns management
Spanishatencion de quemaduras
Parent ConceptsPlastic Surgery Specialty (C0038911)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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