Respiratory Injury The leading cause of death in fires is not thermal injuries but the inhalation of toxic smoke. The three elements of smoke inhalation are thermal injury, asphyxiation and toxin-induced lung injury (delayed).
What degree burn? Second Degree Third Degree Burns Fourth Degree First Degree
Burn Size How are scattered burns estimated? Using the surface of the casualty’s palm to represent 1% BSA, the total burn percentage is estimated.
Remember the Army Combat Shirt (ACS) from your Introduction to Battlefield Medicine Class?
Designed to provide FR protection to those areas of the body not protected by body armor Arms exposed beyond the protection of body armor resulting in full thickness burns Hands and wrists protected by FR gloves Neck and chest well protected by wearing Improved Body Armor
Fluid is needed to prevent a burn casualty from going into hypovolemic shock.
How do you think burn casualties lose fluid?
Initiate fluid resuscitation as soon as access is established.
For casualties suffering from only burns, Lactated Ringer’s is the solution of choice. If the casualty is in shock due to other injuries, follow combat casualty fluid resuscitation protocols. (Hextend Bolus x2)
You are called to a small vehicle fire. Your casualty (an 80 kg. male) has second-degree thermal burns of his anterior trunk, anterior arms, anterior legs & groin. Using the Rule of Nines, calculate TBSA burned.