National Burn Care Referral Guidance
The National Network for Burn Care recognises the need for national guidance aimed at ensuring patients are referred to a burn care service which has…
Read MorePre-hospital Approach to Burns Patient Management
Transport
Information to A&E as per national standard (age, gender, incident, ABC problems, relevant treatment, ETA) All treatment should be carried out with the aim of…
Analgesia
Is best accomplished by cooling and covering initially Intravenous opiate / opioid, titrated to effect in adults with anti-emetic. Intranasal diamorphine is an option to…
Cannulation and intravenous fluids
Cannulate for titrated opiate / opioid analgesia Do not allow cannulation procedures to unnecessarily extend the on scene time. Limited attempts to cannulate the patient…
Assessment of burn severity
Time of burn injury o In order to estimate the size of burned area, use the Wallace rule of Nines or the ‘half burnt/half not’…
Assessment and management of immediately or imminently life threatening problems
A.c.B.C (Airway with cervical spine stabilisation, breathing, circulation) Patient may have other injuries co-existent with their burn injury O2 high flow non-rebreath mask (15 litres/min)….
Dressings
Cover burnt area with Clingfilm Be aware of possible constricting effect of wrapping! Wrap the patient up in blankets or duvet (Cool the burn wound…
The Burns Game
A learning resource developed with the BBA, suitable for anyone involved in the initial assessment and treatment of burn injury patients who wishes to improve…
Cool the burn wound
Ambulance control despatch system will advise the 999 caller to cool the burn area for up to 10 minutes If this has been done, Pre-hospital…
Stop the burning process
(for example: stop, drop and roll); remove the burning source. Remove all burnt/burning clothing (unless stuck to the patient), jewellery (bring bagged clothing to hospital…