Burns; Roadside to Resus

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