Take Home Points
- The Parkland formula can be used to be a guide for initial fluid resuscitation. This is based on second- and third-degree burns (not first-degree). Utilize response to treatment as a guide to continue fluid resuscitation.
- Patients in fires in closed spaces for a prolonged time are at risk for airway edema and need for intubation. History of fire is very important and please monitor patient condition, patients’ voice, and repeat physical exam.
- Prophylactic antibiotics can be avoided in most burn cases.
- Checking extremity pulses for extremity burns are important. Loss of pulse should trigger an escharotomy. Continued loss of pulse should trigger a fasciotomy.
- Have a low threshold for starting Hydroxocobalamin for possible cyanide toxicity and for testing for a carboxyhemoglobin level for possible carbon monoxide toxicity.
REBEL Core Cast 102.0 – Burn Management
Check out the “Only in Staten” Podcast
Post Created By: Anand Swaminathan MD, MPH + Billy Caputo MD
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
Cite this article as: Anand Swaminathan, "REBEL Core Cast 102.0 – Burn Management", REBEL EM blog, May 24, 2023. Available at: https://rebelem.com/rebel-core-cast-102-0-burn-management/.