Beruflich Dokumente
Kultur Dokumente
Airway exemption
IMPORTANT
• Inhalation injury is an indication of referring
the patient to burn center
• Before referring the patient to far distance
center, intubation should be done
Determine the
percentage area of
burn
Burn patients assessment
Determine the depth of burn
Burn patients assessment
Determine the depth of burn
Primary survey and resuscitation
• Airway
• Breathing
• Circulation
– Grade II and III burns need 2-4 ml/kg/%TBSA of
Ringer Lactate in 24 hours (since the trauma)
– 50% 8 hours
– 50% 16 hours
– Asses urine output and vital sign
Secondary survey
• Physical examination
• Medical records
• Supporting examination
– Blood test
– Blood type and cross match
– Carboxyhemoglobin level
– Blood glucose
– Electrolyte
– Blood gas analysis
– Thorax roentgen
Secondary survey
• Peripheral circulation
• Nasogastric tube
• Narcotics, analgesics, and sedative
• Wound care
• Antibiotics
• Tetanus
Referred criteria
• Grade II and III burns > 10% TBSA on patient
age < 10 years old or > 50 years old
• Grade II and III burns > 20% TBSA on other age
• Grade II and III burns on face, eye, ears, hand,
leg, genitalia, and joint
• Grade III burns > 5% TBSA at all age
• Electrical burn
• Chemical burn
Referred criteria
• Inhalation injury
• Burns on patient with other disease that can
complicate the handling, extend the recovery
time, or can caused death
• Burns with accompanying injury
• Burns children at hospital without sufficient
equipment and staff
• Burns patient who need special handling
(social problem)
Referred procedure
• Prepare the patient
• Coordination
• Medical records