This week we dive into some of the initial considerations in the resuscitation of major burn patients.
Core EM - Emergency Medicine Podcast Episode 101.0 – Major Burns
Jun 12, 2017
Dive into the crucial steps of resuscitating major burn patients, focusing on early intubation to maintain airway patency. Master the rule of 9s and Parkland formula for effective fluid resuscitation. Explore the importance of thorough trauma evaluations to catch hidden injuries and prevent compartment syndrome. Gain insights into assessing and treating carbon monoxide and cyanide poisoning, ensuring timely interventions are in place for optimal patient outcomes.
AI Snips
Chapters
Transcript
Episode notes
Intubate Early for Airway Burns
- Intubate early if any concern for airway burns or smoke inhalation exists.
- Airway edema can progress rapidly and unpredictably in major burn patients.
Soot Alone Doesn't Mean Intubate
- Soot around the nose alone does not mandate intubation in minor burns.
- Early intubation is critical primarily in patients with major burns and airway involvement.
Parkland Formula for Fluid Resuscitation
- Use the Rule of Nines and Parkland formula for fluid resuscitation in burns.
- Administer half the calculated fluids in 8 hours and the remainder over 16 hours using balanced solutions like LR.
