Burn with Airway Involvement: PFC Case Discussion 5

A U.S. service member sustains deep partial thickness burns to both arms and the chest while burning the trash…


  • Is the ISR Clinical Practice Guideline and included worksheet ready and available to use?
  • Will you recognize this as a life threatening burn requiring calculated fluid therapy?
  • Do you understand what the fluid of choice is?
  • Will you call for help early?
  • At what point will you take control of the airway?
  • How will you care for the airway to prevent complications?
  • If you brought a ventilator what settings will you use?
  • What other nursing precautions should be taken?
  • What is the pain control or sedation strategy for 24 hours or longer?
  • Do you have a plan to measure UOP?
  • Are you ready to place a Foley?
  • How does an escharotomy go again?
  • How will the injuries and interventions affect transport?
  • How will you relay critical information to the next medic or receiving burn team?

2 Comments on “Burn with Airway Involvement: PFC Case Discussion 5”

  1. Have you or anyone involved with TCCC / PFC looked at adding a Chemical, Biological or Radiation/Nuclear (CBRN) medical care aspect? It is apparent that we will eventually have to cope with casualties due to a CBRN event. We are seeing chemicals being used in Syria and Iraq by the Syrian military and ISIS. The potential for a dirty bomb, RDD or a tactical nuclear device being used is also possible. I am retired military (Army) and I was involved with Military Intelligence for over 17 years before going into the medical field which I spent the past 35 years as a Paramedic. I am now retired but work as a training specialist with DHS and train first responders in responding and managing casualties involved in CBRNE events. I think this is an area that is over looked in training for disasters and terrorist events.

    • Eldon
      A podcast on that very topic is in the works right now. What questions do you have on this very broad topic?

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