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?
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?