Management of a Burn Injury - Resuscitation/emergent

Question	Answer
Management of the Burn Injury Begins at the time of injury, Ends with the restoration of normal capillary permeability. Duration usually 28-72 hr. Includes prehospital care and emergency department care. Goal - Maintain a patent airway, administer IV fluids to prevent hypovolemic shock and preserve vital organ functioning	Resuscitation/Emergent phase Prehospital - remove from source of burn, assess ABCs ~ trauma, inc. inhalation injury ~ conserve body heat ~ cover burns with sterile or clean cloths, remove constricting items~ insert IV access, transport to ER Major Burns - evaluate degree, extent and treat life-threatening conditions, ensure patent airway, give O2 (inh injury give 100% via nonreb mask until carbhgb is < 15%), assess oropharynx for blisters, erythema, vocal quality auscultate lung sounds, monitor ABGs, IV access, assess for hypovolemia, monitor VS, foley catheter insert maintain 30-50mL/hour, NPO, insert NG tube, give pain meds, tetanus prophylaxis, prepare for escharotomy or fasciotomy Minor Burns - admin pain meds, tetanus prophylaxis, admin wound care as ordered, may inc. cleansing, debriding loose tissue, removing any damaging agents, followed by the application of topical antimicrobial cream and sterile dressing, instruct follow up care inc. active ROM exercises and wound care treatments

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Answer

Management of the Burn Injury Begins at the time of injury, Ends with the restoration of normal capillary permeability. Duration usually 28-72 hr. Includes prehospital care and emergency department care. Goal - Maintain a patent airway, administer IV fluids to prevent hypovolemic shock and preserve vital organ functioning

Resuscitation/Emergent phase Prehospital - remove from source of burn, assess ABCs ~ trauma, inc. inhalation injury ~ conserve body heat ~ cover burns with sterile or clean cloths, remove constricting items~ insert IV access, transport to ER Major Burns - evaluate degree, extent and treat life-threatening conditions, ensure patent airway, give O2 (inh injury give 100% via nonreb mask until carbhgb is < 15%), assess oropharynx for blisters, erythema, vocal quality auscultate lung sounds, monitor ABGs, IV access, assess for hypovolemia, monitor VS, foley catheter insert maintain 30-50mL/hour, NPO, insert NG tube, give pain meds, tetanus prophylaxis, prepare for escharotomy or fasciotomy Minor Burns - admin pain meds, tetanus prophylaxis, admin wound care as ordered, may inc. cleansing, debriding loose tissue, removing any damaging agents, followed by the application of topical antimicrobial cream and sterile dressing, instruct follow up care inc. active ROM exercises and wound care treatments

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Management of a Burn Injury - Resuscitation/emergent

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	Created by Jamie Chavez about 6 years ago