4.8 • 678 Ratings
🗓️ 15 October 2018
⏱️ 65 minutes
🧾️ Download transcript
With bonfire night approaching we thought it would be a good time to have a think about burns.
However burns are a significant issue at all times of year with around 130,000 presentations to UK EDs annually, 10,000 cases are admitted to hospital, 500 of these have severe burns and 200 of these will die. But most importantly intervention that we make can make a big difference to both morbidity and mortality, really affecting outcomes.
Throughout this episode we'll be covering the essential first responder management, all the way through to the critical care that maybe required for the sickest of burns patients.
In the podcast we cover
Burn type and burn severity
The importance of history
Assessing burn extent
Assessing burn depth
The A-E assessment and specifics regarding the burns patient
NAI, antibiotics, tetanus cover, analgesia, special circumstances eyes & chemicals
Conveyance and destination
As always we'd love to hear any thoughts or comments you have on the website and via twitter, we look forward to hearing from you.
Enjoy!
Simon, Rob & James
References
British Burn Association First Aid Clinical Practice Guidelines
BBA Clinical Practice Guideline for Management of Burn Blisters
BBA Clinical Practice Guideline for Deroofing Burn Blisters
RCEMLearning; Major Trauma, Burns
National Burn Care Referral Guidance
WHO; fact sheet on burns
NHS Standard Contract for Specialised Burns Care (All Ages) Schedule 2- The Services A. Service Specification
LITFL; burns
Clinical review: The critical care management of the burn patient. Jane A Snell. Crit Care 2013
Fluid resuscitation in major burns. Mitra B ANZ J Surg. 2006
How well does the Parkland formula estimate actual fluid resuscitation volumes? Cartotto RC. J Burn Care Rehabil. 2002
Fluid resuscitation management in patients with burns: update. Guilabert P. Br J Anaesth. 2016
ISBI Practice Guidelines for Burn Care 2016
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0:00.0 | Welcome to the Recess Room podcast. |
0:03.9 | Five, four, three, two, one, fire. |
0:12.9 | So hi, and welcome back to the Recess Room podcast. |
0:16.5 | I'm Simon Lang, and I'm Rob Fenwick. |
0:18.9 | And I'm James Yates. |
0:20.1 | And we are back after quite a while with a more traditional roadside to resus and this time we're looking at Burns. |
0:28.9 | Yes we are. We're revisiting a topic from yesteryear so two years ago we did a podcast on this but we have got obviously the wonderful James Yates with us now to add that pre-hospital slant on that knowledge. |
0:40.8 | Thank you. |
0:41.3 | Thank you. |
0:43.3 | So it is time to cover it again and just in time for fireworks night. |
0:48.0 | Indeed. |
0:49.1 | Almost like we thought about it, isn't it? |
0:51.1 | Almost planned. |
0:52.2 | Almost. |
0:53.7 | So yeah, we're going to run through the topic |
0:55.6 | and we're hopefully going to give you a bit of background to the evidence base and run through |
0:59.2 | how you can assess those patients and deliver high quality care to them all the way through |
1:03.9 | from those minor burns to those critically unwell patients. So we hope this is going to be |
1:10.0 | really useful. Before we start, a huge thanks to |
1:13.3 | AbPrak for supporting the podcast. There are high-quality advanced clinical practitioner group based in the |
1:18.2 | UK. Go and have a look at their website for the services they offer, both from staffing and from |
1:22.6 | setting up a service. Right, so without further ado, let's get on with the podcast. So as mentioned, |
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