The Challenging Patient: Burns and Trauma & Less Common Burn Injuries: 2023 Trauma University-Handout: The Challenging Patient: Burns and Trauma

Handout: The Challenging Patient: Burns and Trauma

Pdf Summary

The document is titled "The Challenging Patient- Burns and Trauma" and is provided by the Trauma Center Association of America. The document includes information about accreditation for physician CME and nursing CE credits. It also mentions the absence of any relevant financial relationships for the speakers and planners of the educational activity.<br /><br />The objectives of the document are to understand resuscitation and management priorities for trauma patients with burns and to discuss considerations for trauma systems when managing patients with both traumatic injuries and burns. The document provides recommendations for the management of multisystem trauma patients with burns, including adhering to initial trauma resuscitation protocols, early removal of clothing and jewelry, and obtaining admission weight.<br /><br />Specific recommendations are given for airway management, estimation of total body surface area (TBSA) affected by burns, fluid management, transfer/referral criteria, and care prior to transfer. The document emphasizes the importance of early intubation for patients with signs of significant smoke inhalation and provides formulas for fluid resuscitation based on TBSA. It also outlines the criteria for transferring patients to a burn center and provides guidance on care prior to transfer, including pain management and wound care.<br /><br />The document further discusses the monitoring of extremity burns, the signs and management of compartment syndrome, the use of escharotomies, and the limitations of trauma centers in managing burn patients. It concludes with a list of references for further information.<br /><br />Overall, the document provides guidance and recommendations for the management of challenging patients with burns and trauma, with a focus on resuscitation, assessment, and transfer or referral to burn centers for optimal care.

Keywords

Challenging Patient

Burns

Trauma

Resuscitation

Trauma systems

Transfer criteria

Fluid management

Burn center transfer

Pain management

Extremity burns