Initial Management of the Burned Patient.
NIOSH 1978 Jun:248-254
The emergency treatment of burn patients was reviewed with regard to successful resuscitation and avoidance of later, serious complications. The initial management strategy required an accurate and detailed history of the thermal injury to determine burn depth and the likelihood of associated injury. The rank order for burn depth from surface to deep tissue was immersion and scald injuries, flash burns, flame burns associated with ignition of clothing, and pure electrical burns. The special attention necessitated by electrical injuries and severe inhalation injury related to exposure of the respiratory epithelium to toxic gases were described. Procedures identified for the initial management of the respiratory system included a drug screening blood sample, transnasal oxygen enrichment, thoracic escharotomy to reduce dyspnea and tachypnea, and endotracheal intubation, and nasogastric tube decompression with emptying of the stomach. The major circulatory management strategy was intravenous saline infusion with salt water therapy. Wound treatment, hospitalization, and when to transfer to a burn center were discussed.
Medical-treatment; Emergency-care; Clinical-diagnosis; Electrical-burns; First-aid; Thermal-effects; Toxic-gases; Pulmonary-system-disorders;
Asthma and Chronic Obstructive Pulmonary Disease; Disease and Injury; Pulmonary-system-disorders;
Occupational Safety and Health Symposia, 1977, Division of Technical Services, NIOSH, U.S. Department of Health, Education, and Welfare, Cincinnati, Ohio, DHEW (NIOSH) Publication No. 78-169