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Flashcards in 11100 BURNS - ADULT Deck (17)
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1
Q

BLS INTERVENTIONS

A

 Break contact with causative agent (stop the burning process).
 Remove clothing and jewelry quickly, if indicated.
 Keep patient warm.
 Estimate % TBSA burned and depth using the “Rule of Nines”.
 An individual’s palm represents 1% of TBSA and can be used to
estimate scattered, irregular burns.

2
Q

Special Considerations (list)

A

Thermal burns,Chemical burns, Tar burns, Electrical burns, Eye involvement, Determination of Death on Scene.

3
Q

Thermal Burns

A

Stop the burning process. Do not break blisters.

Cover the affected body surface with dry, sterile dressing or sheet.

4
Q

Chemical Burns

A

Brush off dry powder, if present. Remove any
contaminated or wet clothing. Irrigate with copious amounts of
saline or water.

5
Q

Tar burns

A

Cool with water, do not remove tar.

6
Q

Electrical Burns BLS

A

emove from electrical source (without
endangering self) with a nonconductive material. Cover the affected
body surface with dry, sterile dressing or sheet.

7
Q

Eye Involvement

A

Continuous flushing with NS during transport.

Allow patient to remove contact lenses if possible.

8
Q

Determination of Death on Scene:

A
Refer to ICEMA Reference 
#12010 - Determination of Death On Scene.
9
Q

ALS INTERVENTIONS (list)

A

Advanced Airway, Airway stabilization, Monitor EC,IV/IO, Pain relief, Nasogastric/ Orogastric, Burn classification.

10
Q

Burn patients with respiratory compromise or potential for such

A

Pt will be
transported to the closest most appropriate receiving hospital for airway
stabilization.

11
Q

IV fluid temp

A

Warm when available

12
Q

Unstable IV/IO

A

BP <90mmHG and/or signs of inadequate tissue
perfusion, start 2nd IV access.
IV/IO NS 250 ml boluses, may repeat to a maximum of 1000 ml.

13
Q

Stable IV/IO

A

IV/IO NS 250 ml boluses, may repeat to a maximum of 1000 ml.

14
Q

Pain Relief

A

Fentanyl per ICEMA Reference #7040 - Medication -
Standard Orders. Document BP and pain scale every five (5) minutes while
medicating for pain and reassess the patient.

15
Q

Transport to appropriate facility:

A

 CTP with associated burns, transport to the closest Trauma Center.
 Burn patients with associated trauma, should be transported to the
closest Trauma Center. Trauma base hospital contacted shall be
made.

16
Q

Electrical Burns:

A

Monitor for dysrhythmias, treat according to
ICEMA protocols.
 Electrical injuries that result in cardiac arrest shall be treated
as medical arrests.

17
Q

Respiratory Distress(list)

A

Intubation, Albuterol, humidified O2, Capnography, Contraindication for Nasal Tracheal, CPAP considerations.