When do you give a burn patient antibiotics? Which ones?  

How do you calculate TBSA and the rule of 10s?  

What do you use to guide fluid resuscitation? What fluid? 

 When is an escharotomy in the field appropriate?   

Burns present another wound pattern that can be extremely difficult and  time consuming for any level of provider to manage.  So much so that  there are dedicated burn teams that will often fly to where burn  patients are being held in order to get them back to the burn center in  San Antonio with the best chance of survival.  We have taken the expert  guidance of these critical care providers and packaged everything they  have learned into a single clinical practice guideline targeted at the  medic and other Role 1 Providers who might find themselves sitting on a  patient at a Battalion Aid Station or team house before evacuation is  available.  Initial priorities such as estimating percentage of body  surface area burned, starting fluid resuscitation with the rule of 10s, Foley placement along with many others may determine the mortality and  morbidity of your patient.   For more content, visit www.prolongedfieldcare.org