meta_pixel
Tapesearch Logo
Log in
The Resus Room

Burns; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 15 October 2018

⏱️ 65 minutes

🧾️ Download transcript

Summary

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

 

Transcript

Click on a timestamp to play from that location

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,

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Simon Laing, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Laing and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2025.