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Bur
ns
Air M
etho
ds C
orpo
ratio
nCo
mm
unity
Bas
ed S
ervi
ces
Aut
hore
d by
:R
ache
l Kub
alek
, RN
, CFR
NTe
athe
r Cam
pbel
l, R
N, C
FRN
Obj
ectiv
es
.Li
st b
urns
by
the
type
of c
ausa
tive
fact
ors
(che
mic
als,
exp
osur
es, e
lect
rical
, etc
.).
Iden
tify
trea
tmen
t mod
aliti
es, i
nclu
ding
air
way
m
anag
emen
t, pa
in c
ontr
ol, a
nd fl
uid
resu
scita
tion
.Ca
lcul
ate
burn
per
cent
ages
, and
siz
e es
timat
ion
.Li
st tr
ansp
ort m
odal
ities
and
leve
l of c
are
Bur
ns-In
trod
uctio
n
Epid
emio
logy
Initi
al m
anag
emen
tTr
eatm
ent
Asso
ciat
ed In
jurie
s
http
s://
new
york
tour
s.w
ordp
ress
.com
/20
14/
03
/14
/the
-alm
ost-t
rue-
stor
y-of
-the-
orig
in-o
f-st-p
atric
ks-d
ay-in
-nyc
/
Epid
emio
logy
013
fact
s fr
om A
mer
ican
Bur
n As
soci
atio
n:B
urn
inju
ries
acco
unt f
or a
n es
timat
ed 4
50
,00
0
annu
al e
mer
genc
y de
part
men
t (ED
) vis
its p
er y
ear
45
,00
0 re
quire
hos
pita
lizat
ion
Appr
oxim
atel
y 6
0%
of t
hese
pat
ient
s ar
e ho
spita
lized
at o
ne o
f the
12
5 s
peci
aliz
ed b
urn
trea
tmen
t cen
ters
in th
e U
nite
d St
ates
Epid
emio
logy
34
00
dea
ths
per y
ear a
re re
late
d to
fir
e/bu
rn/a
nd s
mok
e in
hala
tion
(nat
ion
wid
e).
Neb
rask
a ha
s St
Eliz
abet
h bu
rn c
ente
r tha
t is
acc
redi
ted
by th
e Am
eric
an B
urn
Cent
er.
96
.6%
of a
dmis
sion
s to
bur
n ce
nter
s fr
om
20
03
-201
2 s
urvi
ve.
Epid
emio
logy
With
tem
ps >
12
0 d
egre
es F
ahre
nhei
t, it
take
s on
ly 3
sec
onds
to b
urn
a ch
ild's
ski
n se
vere
ly e
noug
h to
requ
ire s
urge
ry
http
://w
ww
.doc
umen
tingr
ealit
y.co
m/f
orum
/f1
49
/chi
ldre
n-bu
rned
-hot
-cof
fee-
14
46
29
/
Mec
hani
cs a
nd C
ausa
tive
Fact
ors
–Th
erm
al•
Flam
e•
Scal
d•
Flas
h•
Cont
act
–Ch
emic
al–
Rad
iatio
n–
Elec
tric
ity–
Ligh
tnin
g–
Fros
tbite
http
://w
ww
.doc
umen
tingr
ealit
y.co
m/f
orum
/f1
49
/chi
ldre
n-bu
rned
-hot
-co
ffee
-14
46
29
/
Ther
mal
: Fla
me
Mos
t Com
mon
http
://t
heaw
aken
eddr
eam
er.c
om/2
011
/12
/01
/whe
n-th
e-ho
use-
burn
s-do
wn/
Ther
mal
Sca
ld
Seco
nd m
ost c
omm
on b
urn
Hig
hest
in th
e pe
diat
ric p
opul
atio
nIm
mer
sion
bur
ns in
volv
e de
eper
tiss
ue
stru
ctur
esCo
nsid
er a
buse
http
://w
ww
.med
bc.c
om/a
nnal
s/re
view
/vol
_11
/num
_3/t
ext/
vol1
1n3
p17
1.h
tm
Flas
h B
urns
//w
ww
.em
swor
ld.c
om/a
rtic
le/1
08
39
93
3/b
urn-
care
http://burnssurgery.blogspot.com/2012/01/hand-burns-thermal-
cracker_18.html
Con
tact
Bur
ns
Liqu
idSe
mi-l
iqui
d, (T
ar, s
olve
nts,
wat
er, e
tc.)
Obj
ects
://c
hem
istr
ybys
cott
.org
/che
mic
al_b
urns
.htm
http://wwwbarryevanscom/injury4html
Elec
tric
al B
urns
Dam
age
is re
late
d Am
ount
of t
issu
e co
nduc
ting
the
curr
ent
Flow
of e
lect
ricity
whi
ch is
:–
Ampe
rage
(flo
w o
f cur
rent
)–
Volta
ge (a
mou
nt o
f cur
rent
)–
Res
ista
nce
or c
ondu
ctiv
ity o
f flu
ids
and
tissu
e AC
(Alte
rnat
ing
curr
ent)
has
a
high
er in
cide
nce
of m
yoca
rdia
l fib
rilla
tion
than
DC
(Dire
ct
curr
ent)
http
s://
ww
w.s
tudy
blue
.com
/not
es/n
ote/
n/ph
ysic
al-a
nd-c
hem
ical
-in
jurie
s/de
ck/8
50
91
3
http://www.forensicmed.co.uk/wounds/burns/chemical-and-electrical-burns/
Elec
tric
al B
urns
Entr
ance
Wou
ndH
igh
resi
stan
ce o
f ski
n tr
ansf
orm
s el
ectr
ical
ene
rgy
into
hea
t, w
hich
pro
duce
s bu
rns
arou
nd th
e en
tran
ce p
oint
(dar
k sp
ot in
cen
ter o
f wou
nd)
http
://b
urns
surg
ery.
blog
spot
.com
/201
3/1
0/e
lect
rical
-con
tact
-bur
ns-s
pine
-exp
osed
.htm
l
Alte
rnat
ing
Cur
rent
(AC
)
Low
vol
tage
AC
elec
troc
utio
n –
thre
e tim
es m
ore
dang
erou
s th
an D
C cu
rren
t at
the
sam
e vo
ltage
With
AC
elec
troc
utio
n-
cont
inuo
us m
uscl
e co
ntra
ctio
ns m
ay o
ccur
-si
nce
the
mus
cle
fiber
s ar
e st
imul
ated
at
betw
een
40
to 1
10 ti
mes
per
seco
nd.
Alte
rnat
ing
Cur
rent
(AC
)
Volta
ge a
nd ty
pe o
f cur
rent
–U
nite
d St
ates
and
Can
ada
is 1
10V
& s
ome
22
0V
–La
rger
hou
seho
ld, i
ndus
tria
l app
licat
ions
suc
h as
sho
ps,
man
ufac
turin
g pl
ants
, etc
., an
d ce
nter
piv
ot ir
rigat
ion
syst
ems
may
hav
e as
hig
h as
44
0 V
Alte
rnat
ing
Cur
rent
(AC
)
–Po
wer
line
s an
d el
ectr
ical
tran
sfor
mer
s co
nstit
ute
high
-vol
tage
ene
rgie
s an
d in
volv
e ov
er
60
0 v
olts
–B
y de
finiti
on, h
igh-
tens
ion
inju
ries
invo
lve
curr
ents
of g
reat
er th
an 1
00
0 v
olts
Exam
ple
of A
C C
urre
nt
Cont
act e
lect
rical
bu
rns,
–
12
0-V
alte
rnat
ing
curr
ent.
The
right
kne
e w
as th
e en
ergi
zed
side
, and
the
left
was
gro
und.
–
Thes
e ar
e co
ntac
t bur
ns
and
are
diff
icul
t to
dist
ingu
ish
from
th
erm
al b
urns
.
http
s://
ww
w.o
sha.
gov/
SLTC
/eto
ols/
cons
truc
tion/
elec
tric
al_i
ncid
ent
s/bu
rn_e
xam
ples
.htm
l
Dir
ect
Cur
rent
Hig
h vo
ltage
dire
ct c
urre
nt (D
C) e
lect
rocu
tion
tend
s to
cau
se a
sin
gle
mus
cle
cont
ract
ion
–th
row
ing
its v
ictim
from
the
sour
ce–
Mor
e bl
unt t
raum
a
Dir
ect
Cur
rent
Dire
ct c
urre
nt e
lect
rocu
tion
can
also
cau
se
card
iac
dysr
rhyt
hmia
s
–de
pend
ende
nt o
n th
e ph
ase
of th
e ca
rdia
c cy
cle
Exit
Wou
nd
Curr
ent f
low
s th
roug
h th
e bo
dy fr
om th
e en
tran
ce p
oint
, unt
il fin
ally
exi
ting
whe
re
ther
e is
a g
roun
ding
sou
rce
This
foot
suf
fere
d m
assi
ve in
tern
al in
jurie
s,
whi
ch w
eren
't re
adily
vis
ible
, and
had
to b
e am
puta
ted
a fe
w d
ays
late
r
http
s://
ww
w.o
sha.
gov/
SLTC
/eto
ols/
cons
truc
tion/
elec
tric
al_i
ncid
ents
/bur
n_ex
ampl
es.h
tml
Arc
h B
urns
•Th
is m
an w
as n
ear a
pow
er b
ox w
hen
an e
lect
rical
ex
plos
ion
occu
rred
. •
Thou
gh h
e di
d no
t tou
ch th
e bo
x–
elec
tric
ity a
rced
thro
ugh
the
air a
nd e
nter
ed h
is b
ody.
–
The
curr
ent w
as d
raw
n to
his
arm
pits
bec
ause
pe
rspi
ratio
n is
ver
yco
nduc
tive
http
s://
ww
w.o
sha.
gov/
SLTC
/eto
ols/
cons
truc
tion/
elec
tric
al_i
ncid
ents
/bur
n_ex
ampl
es.h
tml
Ther
mal
Con
tact
Bur
ns
Curr
ent e
xite
d th
is m
an a
t his
kne
es,
catc
hing
his
clo
thin
g on
fire
and
bur
ning
his
up
per l
eg
http
s://
ww
wos
hago
v/SL
TC/e
tool
s/co
nstr
uctio
n/el
ectr
ical
inci
dent
s/bu
rnex
ampl
esht
ml
Inte
rnal
Inju
ries
This
wor
ker w
as e
nerg
ized
thro
ugh
a to
ol h
e w
as h
oldi
ng. T
he e
ntra
nce
wou
nd a
nd
ther
mal
bur
ns fr
om th
e ov
erhe
ated
tool
are
no
ted…
http
s://
ww
w.o
sha.
gov/
SLTC
/eto
ols/
cons
truc
tion/
elec
tric
al_i
ncid
ents
/bur
n_ex
ampl
es.h
tml
Inte
rnal
Inju
ries
: Sam
e H
and
Sam
e ha
nd a
few
day
s la
ter,
whe
n m
assi
ve
subc
utan
eous
tiss
ue d
amag
e ha
d ca
used
se
vere
sw
ellin
g (s
wel
ling
usua
lly p
eaks
24
-7
2 h
ours
aft
er e
lect
rical
sho
ck)
http
s://
ww
w.o
sha.
gov/
SLTC
/eto
ols/
cons
truc
tion/
elec
tric
al_i
ncid
ents
/bur
n_ex
ampl
es.h
tml
Invo
lunt
ary
Mus
cle
Con
trac
tion
This
wor
ker f
ell a
nd g
rabb
ed a
pow
er li
ne to
ca
tch
him
self.
–
resu
lting
ele
ctric
sho
ck m
umm
ified
his
firs
t tw
o fin
gers
, whi
ch h
ad to
be
rem
oved
. –
acut
e an
gle
of th
e w
rist w
as c
ause
d by
bur
ning
of
the
tend
ons,
whi
ch c
ontr
acte
d, d
raw
ing
the
hand
with
them
.
Ligh
tnin
g In
juri
es
Seco
nd m
ost f
requ
ent c
ause
of s
torm
re
late
d de
aths
. U
sual
ly c
ause
s su
perf
icia
l bur
ns, w
ith d
eep
tissu
e pe
netr
atio
n fr
om th
e cu
rren
t.M
ay c
ause
asy
stol
e or
fibr
illat
ion.
Shor
t or l
ong
term
hea
ring
loss
or c
hang
es.
Visi
on c
hang
es o
r ear
ly c
atar
acts
.
Mec
hani
sms
of In
jury
Ligh
tnin
g in
jury
-5 b
asic
mec
hani
sms
–D
irect
str
ike
–Fl
ash
disc
harg
e (s
plas
h)–
Cont
act
–G
roun
d cu
rren
t (st
ep v
olta
ge)
–B
lunt
trau
ma
Dir
ect
Ligh
teni
ng S
trik
es
Out
side
, hik
ing,
by
a ta
ll ob
ject
, etc
.Ca
rryi
ng m
etal
obj
ects
Met
al w
orn
in th
e ha
ir (h
airp
in)
–In
crea
ses
the
chan
ces
of a
dire
ct s
trik
e co
mpa
red
with
a
met
al o
bjec
t wor
n lo
wer
on
the
body
–As
soci
ated
with
hig
h m
orbi
dity
bec
ause
they
freq
uent
ly
invo
lve
the
head
. –
May
cau
se h
earin
g lo
ss, c
atar
acts
, art
hriti
s, e
tc.
Flas
h D
isch
arge
Stru
ck b
y a
flash
dis
char
ge o
r sid
e im
pact
fr
om a
noth
er s
truc
k ob
ject
Sp
lash
inju
ry a
lso
occu
rs fr
om p
erso
n to
pe
rson
whe
n se
vera
l peo
ple
are
stan
ding
cl
ose
toge
ther
Pat
hoph
ysio
logy
Ligh
tnin
g in
jury
diff
ers
from
com
mer
cial
hi
gh-v
olta
ge e
lect
ric in
jury
Brie
f Dur
atio
nD
irect
Cur
rent
Hig
h te
mpe
ratu
reSo
nic
wav
esFl
ash
burn
sCo
-mor
bid
trau
ma
Pat
hoph
ysio
logy
As li
ghtn
ing
follo
ws
the
shor
test
rout
e be
twee
n co
ntac
t poi
nts
of th
e hu
man
bod
y–
it m
ay in
volv
e vi
tal s
truc
ture
s in
its
path
.–
Alm
ost e
very
org
an s
yste
m is
vul
nera
ble.
–A
wid
e va
riety
of c
ompl
icat
ions
can
resu
lt fr
om
dam
age
to th
ese
orga
n sy
stem
s.
Che
mic
al B
urns
Safe
ty fo
r you
and
you
r col
leag
ues
Inju
ry d
epen
dent
on
the
conc
entr
atio
n an
d th
e du
ratio
n of
the
expo
sure
Acid
or
Alka
li–
Irrig
ate
stro
ng a
cids
or a
lkal
i exp
osur
es fo
r at
leas
t 30
-60
min
utes
–Co
ntin
uous
irrig
atio
n if
eye
is e
xpos
ed to
ch
emic
als
Che
mic
al B
urn-
Alk
ali
http://pixshark.com/chemical-burns-in-eye.htm
Che
mic
al B
urn-
Aci
d
http://mayhaila.deviantart.com/art/Theatrical-special-effect-burn-
292818760
Rad
iatio
n
Sunb
urn
Rad
iatio
n th
erap
y
Sun
burn
Dam
age
With
in 2
hou
rs a
fter
UV
expo
sure
, dam
age
to
epid
erm
al s
kin
cells
is s
een.
Sun
Pro
tect
ion
http://www.wisn.com/weather/Weather-Blog-Suntastic-Means-Be-Sun-
Smart/15461056
Fros
tbite
As th
e tis
sue
cool
s, ic
e cr
ysta
ls fo
rm, c
ell
dehy
drat
ion
follo
ws
with
cel
l dea
thR
ewar
m w
ith 4
0 d
egre
e C
wat
er
Do
not r
ub o
r use
any
fric
tion
Pat
hoph
ysio
logy
Card
iova
scul
ar
Ren
al
Met
abol
ism
Imm
une
Syst
em
Gas
troi
ntes
tinal
htt
ps:/
/ww
w.p
inte
rest
.com
/pin
/33
41
81
23
48
23
05
95
63
/
Sce
ne/E
R S
afet
y
Ensu
re th
e bu
rnin
g pr
oces
s is
sto
pped
Dec
onta
min
atio
n-Th
e ca
usat
ive
sour
ce is
re
mov
ed
Pri
mar
y A
sses
smen
t
Early
& a
ggre
ssiv
e ai
rway
man
agem
ent
incl
udin
g c-
spin
e pr
otec
tion
if ne
cess
ary
Bre
athi
ng
Usu
ally
invo
lves
the
uppe
r air
way
abo
ve th
e gl
ottis
May
hav
e a
dela
yed
onse
tCh
emic
al in
volv
emen
t may
cau
se lo
wer
ai
rway
dam
age
Carb
on M
onox
ide
Cir
cula
tion
2 la
rge
bore
IVs
with
LR
Cons
ensu
s fo
rmul
a (fo
rmer
ly P
arkl
and
burn
form
ula)
Trea
t for
all
inju
ries
Mon
itor U
OP
–Ad
ults
->3
0-5
0 m
ls/h
r–
Pedi
atric
s-1
-2 m
ls/k
g/hr
http://img.medscape.com/pi/emed/ckb/emergency_medicine/756148-
769193-367tn.jpg
http://studydroid.com/index.php?page=viewPack&packId=531561
Lets
Cal
cula
te a
Per
cent
age
Flui
d C
alcu
latio
n
Acco
rdin
g to
Adv
ance
d B
urn
Life
Su
ppor
t(2
011
)Co
nsen
sus
Form
ula:
–2
ml p
er k
g X
perc
enta
ge o
f bur
n–
Giv
e th
e fir
st h
alf o
ver t
he fi
rst 8
hou
rs fr
om
onse
t of b
urn
–G
ive
the
seco
nd h
alf o
ver t
he re
mai
ning
16
ho
urs
Ped
iatr
ic C
alcu
latio
n
9 m
onth
old
,10
kg
patie
nt b
roug
ht to
ER
–se
cond
and
third
deg
ree
burn
s:•
to c
hest
, abd
omen
, scr
otal
are
a, u
pper
righ
t arm
and
pa
lm o
f rig
ht h
and.
http
://w
ww
.aob
bang
lade
sh.o
rg/n
ode/
207
http
://e
med
icin
e.m
edsc
ape.
com
/art
icle
/76
91
93
-ove
rvie
w
Ped
iatr
ic F
luid
Cal
cula
tion
Per A
dvan
ced
Bur
n Li
fe S
uppo
rt (A
BLS
):�
Child
ren:
2-4
ml L
Rx
Kg
body
wei
ght x
% B
SA b
urn
�
Hal
f adm
inis
tere
d in
the
first
8 h
ours
pos
t bur
n.
�Th
e re
mai
ning
hal
f the
nex
t 16
hou
rs
http://www.healthofchildren.com/I-K/Intravenous-Rehydration.html
Ped
iatr
ic U
rina
ry O
utpu
t
The
fluid
infu
sion
rat
e sh
ould
be
incr
ease
d or
de
crea
sed
by o
ne-th
ird�
if th
e ur
inar
y ou
tput
falls
bel
ow o
r exc
eeds
the
desi
red
leve
l by
mor
e th
an o
ne-th
ird fo
r tw
o to
th
ree
hour
s. (C
hild
ren
<3
0 k
g U
OP
goal
=
1m
l/kg
/hr)
http://admalmenevo.ru/?q=Urine+Output+Calculator
Infa
nt F
luid
Cal
cula
tion
Infa
nts
< 1
2 m
onth
s an
d yo
ung
child
ren:
Fl
uid
with
5%
dex
tros
e at
a m
aint
enan
cera
te in
add
ition
to th
e re
susc
itatio
n flu
id
note
d ab
ove.
Ped
iatr
ic F
luid
Cal
cula
tion
(con
t.)
2 m
l per
kg
X %
of b
urn.
Pt w
eigh
t is
10kg
.2
ml X
10
X 2
0.5
= 4
20
ml o
ver 2
4 h
ours
.21
0 m
l is
give
n in
the
first
8 h
ours
from
the
onse
t of b
urn
(run
at 2
6 m
l/hr
)
»AB
LS 2
011
Dis
abili
ty
Neu
ro a
sses
smen
t bef
ore
and
afte
r sed
atio
n an
d pa
raly
tics.
Asse
ss fo
r circ
umfe
rent
ial b
urns
. M
onito
r pu
lses
, mot
or a
nd s
ensa
tion
dist
al to
the
inju
ry.
Mon
itor f
or c
ompa
rtm
ent s
yndr
ome
Pai
n M
anag
emen
t
Aggr
essi
vely
trea
t and
man
age
pain
If th
e pa
tient
is n
ot in
tuba
ted,
adm
inis
ter
IV
opio
ids
in s
mal
l bol
uses
and
titr
ate
to e
ffec
t.M
onito
r clo
sely
for r
espi
rato
ry d
epre
ssio
n.An
xiol
ytic
s su
ch a
s At
ivan
may
be
nece
ssar
y.Co
nsid
er in
tuba
tion
if pa
in c
ontr
ol is
in
adeq
uate
.
Pai
n M
anag
emen
t (c
ont.)
Expo
sure
Afte
r the
bur
ning
pro
cess
is s
topp
ed, r
emov
e w
et c
loth
es,
blan
kets
, etc
Cove
r with
cle
an d
ry s
heet
s or
bla
nket
s (T
hey
do n
ot n
eed
to b
e st
erile
). A
void
wet
dre
ssin
gs a
s th
ey c
an c
ause
hy
poth
erm
ia.
Mai
ntai
n te
mpe
ratu
re, a
void
hyp
othe
rmia
https://ispubcom/IJS/21/2/5354
Sec
onda
ry S
urve
y
Chec
k fo
r ass
ocia
ted
trau
ma.
Es
timat
e bu
rn s
ize
Pts
palm
=ap
prox
. 1%
of b
urne
d ar
ea
//w
ww
.am
bons
all.c
om/N
SWR
esus
Bur
nsFl
uids
.htm
http
://w
ww
.raem
s.co
m/a
rtic
les/
park
land
.htm
If in
Dou
bt
CALL
YO
UR
BU
RN
CEN
TER
http
://w
ww
.json
line.
com
/new
s/he
alth
/bur
n-ce
nter
-jo
bs-s
tres
sful
-rew
ardi
ng-4
s6ov
1b-
16
90
67
62
6.h
tml
Spe
cial
Con
side
ratio
ns
Pedi
atric
Pop
ulat
ion
http://www.dailymail.co.uk/news/article-2389972/Three-month-old-baby-boy-
suffers-horrifying-burns-spontaneously-bursting-flames-fourth-time.html
Bra
nd B
urns
The
impr
int o
f a h
ot o
bjec
t:–
Curli
ng ir
on o
r fla
t iro
n
http
://w
ww
.thes
un.c
o.uk
/sol
/hom
epag
e/ne
ws/
scot
tishn
ews/
27
5760
4/To
t-Kay
la-M
urra
y-ge
ts-4
40
-deg
ree-
burn
s-fr
om-h
air-s
trai
ghte
ners
.htm
l
Cig
aret
te B
urns
Ciga
rett
e bu
rns
are
circ
ular
, –
8 to
10
mm
in d
iam
eter
, and
of u
nifo
rm d
epth
Th
ese
burn
s m
ay b
e di
ffic
ult t
o di
stin
guis
h fr
om im
petig
o–
But
the
latt
er in
volv
es s
uper
ficia
l ski
n la
yers
and
occ
urs
in c
rops
http
://j
effr
eyst
erlin
gmd.
com
/tag
/bur
n/
Cig
aret
te B
urns
Ciga
rett
e bu
rns
usua
lly a
re th
ird-d
egre
e, d
eep,
and
re
lativ
ely
pain
less
:–
Occ
ur o
n th
e fa
ce o
r on
the
dors
a of
the
hand
s or
feet
. –
Impe
tigo
heal
s cl
eanl
y w
ith a
ntib
iotic
ther
apy
–W
here
as c
igar
ette
bur
ns h
eal s
low
ly a
nd le
ave
scar
s
http
://w
ww
.abu
sew
atch
.net
/chi
ld_m
edim
age.
php
Cig
aret
te v
s. Im
petig
o
http
://w
ww
.doc
tors
hang
out.c
om/f
orum
/top
ics/
poss
ible
-chi
ld-a
buse
http
://b
estp
ract
ice.
bmj.c
om/b
est-p
ract
ice/
mon
ogra
ph/4
76
/res
ourc
es/i
mag
es.h
tml
Imm
ersi
on b
urns
Imm
ersi
on b
urns
usu
ally
are
see
n on
the
butt
ocks
or l
egs,
or i
n a
stoc
king
or g
love
di
strib
utio
n on
the
extr
emiti
esU
nifo
rm d
epth
, with
a s
harp
line
of
dem
arca
tion
betw
een
burn
ed a
nd n
orm
al
skin
Tran
sfer
Cri
teri
a
Tran
sfer
to a
bur
n ce
nter
:–
Part
ial t
hick
ness
bur
ns >
10
% T
BSA
–B
urns
to fa
ce, h
ands
, fee
t gen
itals
, per
ineu
m o
r jo
ints
–An
y 3
rd d
egre
e bu
rns
–El
ectr
ical
–
Chem
ical
–In
hala
tion
Sum
mar
y.
Stop
the
burn
ing
proc
ess
.Ag
gres
sive
air
way
man
agem
ent
.Ad
equa
te fl
uid
resu
scita
tion
.M
aint
ain
war
mth
aft
er e
xpos
ure
.An
alge
sia
.B
urns
are
dis
trac
ting,
look
for o
ther
inju
ries
Que
stio
ns?
Ref
eren
ces
WW
W.C
DC.
com
Trau
ma
Nur
sing
Cor
e Co
urse
, 7th
editi
on, c
opyr
ight
201
4 b
y EN
AW W
endl
ing,
P.,
thin
k pl
astic
wra
p as
wou
nd d
ress
ing
for
ther
mal
bur
ns,A
CEP
New
s, E
lsev
ier G
loba
l Med
ical
New
sAm
eric
an B
urn
Asso
ciat
ion
2013