emDocs - January 10, 2020 - By Helman A
"Key Take Home Points for Burn and Inhalation Injuries
- Think trauma and tox first; don’t get distracted by the burns
- Debride blisters, cover burns with antibiotic ointment and nonadherent dressings with reassessment within 72 hours
- For fires in an enclosed space or involving plastics, consider cyanide toxicity in addition to carbon monoxide poisoning and consider treating on speculation
- Use the Palmar Method for burns <15% and Lund & Browder for burns>15% rather than the Rule of 9s to estimate TBSA
- Use modified Brooke/Parkland to guide fluid management
- Fluid formulas are starting points only; titrate to urine output and end organ perfusion to avoid over- and under-resuscitation"