Burns (Paediatric) |
| Status | |
| Evidence of burn injury | |
| Assess mechanism of burn and burn injury | |
| Assess burn injury - Airway injury - Degree of burn injury - Refer to Burn Area and Fluid Dose calculator - Burn classification e.g. full/partial thickness |
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| Initial burn management | |
| Cool burn area | |
| Cover cooled area with appropriate dressing | |
| Analgesia as per Pain Relief | |
| Assess Pt temp. and manage as required | |
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| General Care |
| Cool burn area - Running water if possible - Normal Saline or wet combine as substitute - Avoid/eliminate shivering - Avoid ice or ice water |
| Cover cooled area with appropriate dressing - Ensure cling wrap is applied longitudinally to allow for swelling. |
| Assess Pt temp. and manage as required. |
| Cause should be given when considering fluid replacement for Pt with airway burns. Fluid therapy can lead to extensive systemic oedema and airway compromise. Consider early intubation. |
| Volume replacement is for burn injury only. Manage other injuries accordingly including requirement for additional fluid. |
| Consider additional fluid for major electrical burn. |
These calculations are based on the following chart |
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