05 Burns

1.     Remove victim from heat source.   DO NOT ENDANGER YOURSELF.
                     (Notify Power Company, Gas Company, Hazmat as necessary)

 2.     Secure and maintain airway.  Consider C-spine precautions.
         Administer O2 to maintain SaO2 > 95% (90% if hx COPD)

3.     Stop burning process:
         ·         Remove clothing that is not adhered
         ·         Remove rings, bracelets, constricting items
         ·         Brush powdered chemicals from skin / flush
         ·         If molten material, cool with water

 
4.     Complete Primary Survey.  Initiate BCLS as needed.

5.     CONSIDER INHALATION INJURY SIGNS:
         ·         Blackened sputum
         ·         Facial burns, singed facial or nasal hair
         ·         Hoarseness or new cough
         ·         Increasing restlessness
         ·         Rapid shallow respirations
         ·         Inspect oropharynx/vocal cords for redness, blisters, 
               carbon particles – will need early intubation before complete occlusion

 
6.     Determine extent and severity of burn

MAJOR BURN 
          (Adult >20% Body Surface Area)             MINOR BURN  (Adult <20% BSA)

          (Peds >10% BSA)                                                                 (Peds <10% BSA)

1.     CALL FOR INTERCEPT                                1.     Obtain Secondary Survey, 

                                                                                         History, Vital signs  

2.     Obtain Secondary Survey, History,                2.     Wet saline dressing / water gel 
         Vital signs                                                              may be used on burn. 
                                                                                        AVOID HYPOTHERMIA.

3.      Cover patient with clean dry sheet                 3.    Associated injuries = 
         and blanket         .                                                   appropriate SOG.

4.      Associated injuries = appropriate SOG.         4.    Place in position of comfort.

5.      Contact Medical Control.                                5.     Contact Medical Control.       
6.      Monitor vital signs and condition en route.      6.    Monitor vital signs and condition
                                                                                         en route