See alsoBurns - Post Acute Care and Dressings Show
Key Points
BackgroundSpecific features in children with burns
Burns are described as epidermal, dermal (superficial/mid/deep) and full thickness AssessmentHistory of burn
Examination and initial management Like all traumas paediatric burn assessments require a primary and secondary survey with the initial aim of identifying and managing immediate life threats: do not get distracted by the burn injury. Airway
Breathing
Circulation
Disability
Exposure - burn assessment and initial management
Assessment of TBSA
Fluid management in burns ≥10% TBSA
Patients with delayed fluid resuscitation, electrical conduction injury and inhalation injury have higher fluid requirements. Discuss with specialist team Analgesia
Initial investigations
Burn wound managementFACADE = First aid, Analgesia, Clean, Assess, Dress, Elevate General burn management
Consider consultation with local paediatric team when
Consider transfer when Child requiring care beyond the comfort level of the hospital
For emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services Special considerations
Chemical burns
Tetanus prone wounds
Parent information Burns – medical treatment Additional notesSee individual State Burns and Trauma clinical information and mobile phone applications Last updated June 2020 What occurs in the respiratory assessment for a burn patient?Airway assessment includes visualizing the upper airway to look for obstructions, edema, or evidence of burn (soot; singed nasal hairs, eyebrows, facial hairs; raspy voice; cough).
What are the three phases of medical management of burn patients?Burns management can be divided into three phases: early resuscitative, wound management, and rehabilitative/reconstructive.
What are the 4 crucial assessments for burn patients?Burn assessment. Assess airway, breathing, circulation, disability, exposure (prevent hypothermia) and the need for fluid resuscitation.
What are 3 concerns with burns?Complications of deep or widespread burns can include: Bacterial infection, which may lead to a bloodstream infection (sepsis) Fluid loss, including low blood volume (hypovolemia) Dangerously low body temperature (hypothermia)
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