Burns CPG Flowchart And Care Objectives

Question 1

When dealing with burns, What is paramount for paramedic safety?

Answer 1

Ensure safety and removal from burn mechanism, avoid chemical contamination.

Question 2

What should be assessed in burn injuries?

Answer 2

Assess mechanism of burn and burn injury:
- Signs/symptoms of airway burns
- mechanism of injury
- severity of injury (%TBSA, estimated depth, other injuries, comorbidities)

Question 3

What action should be taken for suspected airway burns?

Answer 3

Action for suspected airway burns: escalate care to MICA For patients at any GCS, consider ETT as per CPG A0302 Endotracheal Intubation

Question 4

What action should be taken for partial or full thickness burns?

Answer 4

Patients with TBSA >15% Normal Saline - % TBSA x Pt wt (kg) = vol (mL) administered over 2 hours from time of the burn

Question 5

What actions should be taken for all burns? (5)

Answer 5

1. Rx pain as per CPG A0501 Pain Relief
2. cool the burn
3. warm the patient
4. apply appropriate dressing
5. Tx to an appropriate facility.

Question 6

Care objectives: Burns

Answer 6

• To identify and manage potential airway burns as a priority
• To minimise the impact of injury by maintaining tissue and organ perfusion, minimising pain, appropriate burn wound cooling and minimising heat loss during transfer to hospital