Major Burns

  • need rapid assessment and fluid resuscitation
  • initial cooling, to stop progression, then cover and wait for specialist review
  • Body Surface Area (see above) = Rule of 9’s
  • Also patient’s palm ~1% burn 
  • if circumfrential burns consider escharotomy (see 2nd pic)
  • facial burns —> early intubation 

How Much Fluid in 24hrs? - give crystalloid

  • 2-4ml x Kg x %body surface area burn
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