Burns - WikEM
Indications based on Total Body Surface Area of Burn. Definite IV: Adults > 20%, Peds > 15%; Perhaps IV: Adults 15-20%, Peds 10-15%; Oral adequate: Adults < 15%, Peds < 10%; Types of fluids. Many burn centers prefer lactated ringers unless shock liver or hepatic failure suspected; Colloids generally not used unless burns > 40% TBSA
Chemical burns - WikEM
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Electrical injuries - WikEM
Most patients with burns from electrical injury require admission and care by burn specialist; Lichtenberg figures (not true burns) are pathognomonic for lightning strike; GI Injury. Suspect in patients with: Electrical burns of abdominal wall; History of a fall, nearby explosion, or other mechanical trauma; Pediatric Considerations
Caustic burn - WikEM
Caustic burn caused by exposure to mustard gas (World War I). Hydrofluoric acid (HF) burns, which were not evident until a day after exposure. Signs and symptoms are inadequate to predict presence or severity of injury after caustic ingestion [3]
Burns - WikEM
Colloid Administration Normalizes Resuscitatin Ratio and Ameliorates "Fluid Creep." Journal of Burn Care & Research: January/February 2010 - Volume 31 - Issue 1 - pp 40-47.
Burn dressings - WikEM
Make an edit and help make WikEM better for everyone. Promotes epithelial migration on clean, well vascularized wounds. Minimal antimicrobial activity; use with bacitracin or bactroban. No penetrating ability; good to remove tar and asphalt (especially around eye). Combine with NS wet-to-dry to increase debriding; do not use on eschar.
Smoke inhalation injury - WikEM
Varies depending on substance burned in fire. Hydrochloric acid: product of polyvinyl chloride (structural component of high-rise buildings, plastics) combustion. AIRWAY. Remember, the intubation will only get more difficult as edema worsens!
Caustic burns - WikEM
May appear superficial but often are deeper with ongoing burn; Treat with copious irrigation and local wound debridement to remove residual compound; Disposition. Admit the following: Injuries that cross flexor or extensor surfaces; Facial injuries; Perineum injuries; Partial-thickness injuries >10-15% of BSA; All full-thickness burns; See Also ...
Burn center criteria - WikEM
Burn Center Transfer Criteria. Partial thickness >20% BSA (10-50 years old) Partial thickness >10% BSA (<10 or > 50 yrs old) Full thickness >5% BSA (any age) Burns involving face, eyes, ears, genitalia, joints, hands, feet; Burns with inhalation injury; High voltage electrical burn; Chemical burns
Template:Burn center transfer criteria - WikEM
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