Welcome to our EMS Burn Guide. Just tap on one of the tabs below to access the essential information you need in the field. We appreciate your help providing expert care to patients when they need it most. Indexed below are vital patient care guidelines and protocols often referenced in the field when delivery of care is in your hands, having facts at your fingertips is critical.
You can detect an inhalation injury by observing the following:
Fluid needs are related to the extent of the burn and body size. Use the Rule of Nines for adults and children to estimate the body surface area of second and third degree burns. Fluid resuscitation is needed to supplement circulating volume and to treat hypovolemic shock.
For large injuries, place two large bore IVs in a non-burned extremity (through burned tissue if there is no alternative) and use femoral approach if a central line is the only option.
Calculate the fluid using the Parkland formula:
-Adults: 2-4 ml/Ringers Lactate x Kg body weight x % burn. Give the first half over the first eight hours and the remainder over the next 16 hours.
-Children over age 10: Use the same formula for adults and consult a Burn Center Surgeon.
-Children under age 10: Start with 3-4 ml/Ringers Lactate x Kg body weight x % burned, and consult a Burn Center Surgeon.
Place foley to accurately measure urine, that’s output is an indication of the progression and treatment of hypovolemic shock, or burn shock. Discard initial urine in the bladder.
High Dose vitamin C for burn injuries = 30% TBSA 66Mg/Kg/hr. Contact Burn Center Surgeon for further instructions.
Monitor lung sounds during fluid resuscitation for overload. Elevate head and burned extremities ASAP.BACK
Give all pain medication via IV. Provide Morphine Sulfate (if not contraindicated) in the following proportions:
Our burn surgeons are always available to answer your transfer or other questions.