![]() Cleanse burn with mild soap and water or dilute antiseptic solution.Consider empirically treating for cyanide toxicity especially if fire was in an enclosed place.Serial assessments for compartment syndrome.Lactate (higher lactate levels suggest increase mortality rate and inadequate resuscitation).Coagulation studies (severe burn patients can suffer from coagulopathies such as DIC).Smoke inhalation injury (airway compromise).May require skin-graft if does not heal within 3 weeks.Hoarse voice, soot in nose or mouth, stridor, wheezingĬlinical Features Burn Thickness Chart Thickness.Assess for signs of inhalational injury.Also remove rings or jewelry distal to injury due to anticipated swelling.Remove all burned/burning clothing, jewelry.Will return to normal within hours of the injury regardless of careĮxplains the dynamic nature of burn injuries and how assessment of size and depth at the time of injury can be different compared to 48 hours later Pre-Hospital Care Target of burn care: good first aid and wound management can significantly reduce the need for skin grafting (otherwise it can turn into zone of coagulation, if not properly treated) ![]() Half of patients admitted to burn centers develop ARDS.Inhalation injury is main cause of mortality.Burns >60% BSA often associated with cardiac output depression unresponsive to fluids.Any burns involving the dermis, superficial partial-thickness, or deeper allow for significant transdermal fluid losses.5.3.2 Indications based on Total Body Surface Area (TBSA) of Burn.
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