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Burns

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hrhodes's version from 2015-11-27 20:55

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Question Answer
How do you manage burns?First aid 3 hrs water, A - assess? inhalational, stridor, carbonaceous sputum, change in voice C-spime; B Correct hypoxia and hypercarbia, escahrotomy also look for PNX and chest trauma, C: Seek and treat haemorrhage, IV access, VBG (cyanide,CO), EFAST, D-BSL, Temp keep warm, GCS, head injury, E-expose, log roll, F fluids 3-4ml/kg x TBSA over 24hrs, aim U/O0.5ml/hr adults, 1ml/hr, G-get help- support for pt, referral
Referral criteriainhalational, chemical or airway, circumferential, >20% any burn, special areas, NAI suspected, comorbid disease, inability of local hospital to manage
Weight calculations Age in years +4 x 2, Age in months /2 +4
Fluids Parkland formula 3-4ml/kg x TBSA
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