174-Austere Burns Management from the JTS CPG

This week, Aebhric O’Kelly, Bill Vasios, and Rhod Jordan will host an open discussion on managing austere burn patients, covering airway management, fluid resuscitation, infection control, and pain management. The speakers emphasise the complexity of burn cases and the importance of accurate assessment and treatment protocols. They also highlight the need for effective communication and patient involvement in care, as well as the use of innovative techniques like topical morphine for pain management.

Takeaways

Burns are incredibly complicated, but they're complex patients.

Managing an individual patient's airway has to be factored in.

You want to protect and secure the airway and avoid obstructions.

The goal is to achieve maximal accuracy in fluid resuscitation.

You can infuse that fluid rectally if you don't have IV fluids.

Prophylactic antibiotics are not indicated in burn patients.

Topical morphine works really, really well for pain management.

Involving the patient in their care has a positive effect.

Infection control is the means of preventing infection.

Burn management is more art than science.

Chapters

00:00 Introduction to Burns Management

03:08 Airway Management in Burn Patients

05:52 Assessing Burn Size and Fluid Resuscitation

09:00 Fluid Administration Techniques

11:38 Oral vs IV Resuscitation

14:53 Monitoring and Adjusting Treatment

17:36 Dynamic Management of Burn Patients

25:18 Vital Signs Monitoring in Critical Care

28:01 Continuous Assessment and Patient Management

32:07 Patient Involvement in Vital Signs Monitoring

35:10 Urine Output and Fluid Resuscitation

41:33 Infection Control in Burn Management

48:20 Pain Management Strategies in Burns