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Adult Burns (CPG A0805)

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Stop

  • Paramedic safety is paramount

  • Avoid chemical contamination

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Assessment

  • Signs/symptoms of airway burns

  • Mechanism of injury

  • %TBSA, depth, other injuries, comorbidities

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AP - Suspected airway burns

  • Consider ETT as per CPG A0302

    • Consult with Alfred if GCS ≥ 10

    • Use RSI method unless C/I

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Action - Partial/full thickness burns

  • Use of a Burns IV fluid calculator is recommended

  • Pt >15 years with TBSA >15%

    • N/Saline %TBSA X Pt wt (kg) over 2 hours from time of burn

  • Pt 12-15 years with TBSA >10%

    • N/Saline 3 X %TBSA X Pt wt (kg) over 24 hrs from time of burn, half in the first 8 hrs

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Action - Partial/full thickness burns

  • Mx pain as per CPG A0501

  • Cool the burn with gentle running water and moist towels where available, keep the pt warm.

  • Remove burnt clothing or clothing containing chemicals or hot liquid when safe to do so. Do not
    remove any matter that is adhered to underlying tissue. Remove jewellery prior to swelling occurring.

  • Apply appropriate dressing

    • ​Cling wrap is an appropriate burns dressing and is preferred for all burns.

  • Tx to an appropriate facility

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Notes

  • Burns cooling should ideally be 20 mins with cool, running water. Cooling provided prior to AV arrival is included in the 20 mins

  • Pts with significant burns should preferentially be transported to BCGH

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Flow Chart

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