Assess the severity of Burns by Rule of Nine. Each upper limb =9%, Each lower limb = 18%Front of Chest & abdomen = 18%Back of Chest & abdomen = k18% Head & face = 9%, Genitalia =1% If surface area involved is>10%, then hospitalization and I.V. fluids are required. If area is more than 15-20%, then do not handle the case. Refer to a Hospital or Burns centre. First Aid:
1. Pull the patient away from the sit of fire or heat, and put out the flames with water. (or by covering with thick Blanket) 2. Then pour water generously over the burnt area, to bring down the tissue temperature immediately and minimize deep tissue damage. 3. Check Pulse, Respiration & Blood Pressure. Assess the degree and depth of Burns.
If Burns < 15%
1. Inj. Fortwin 1cc IM/I.V. stat (Narcotic analgesic = 3B-4 to 7) 2. Clean gently with Savlon and water. 3. then smear antiseptic ointment = silver sulfadiazine or betadine or Soframycin (11B-4) 4. Inj. T.T. ½ cc IM stat & after 6 wks. (14-7I) 5. Cap. Cefalong DS 1 bd x 5days (7A-9 = antibiotic) 6. inj. Decadron 2cc I.V./IM 12 hrly x 2 days (9A=steroids) 7. I.V. fluids = Ringer’s lactate & DNS if dehydration Parkland’s Formula for fluid requirement =4x Body weight in Kg x Percentage of area burnt.
When to refer to a Hospital ?If surface are of Burns is >15%If Burns are very deep If face, Neck or eyes are involved.
If fumes are inhaled with possibility of lung injury.
Assess the severity of Burns by Rule of Nine. Each upper limb =9%, Each lower limb = 18%Front of Chest & abdomen = 18%Back of Chest & abdomen = k18% Head & face = 9%, Genitalia =1% If surface area involved is>10%, then hospitalization and I.V. fluids are required. If area is more than 15-20%, then do not handle the case. Refer to a Hospital or Burns centre. First Aid:
1. Pull the patient away from the sit of fire or heat, and put out the flames with water. (or by covering with thick Blanket) 2. Then pour water generously over the burnt area, to bring down the tissue temperature immediately and minimize deep tissue damage. 3. Check Pulse, Respiration & Blood Pressure. Assess the degree and depth of Burns.
If Burns < 15%
1. Inj. Fortwin 1cc IM/I.V. stat (Narcotic analgesic = 3B-4 to 7) 2. Clean gently with Savlon and water. 3. then smear antiseptic ointment = silver sulfadiazine or betadine or Soframycin (11B-4) 4. Inj. T.T. ½ cc IM stat & after 6 wks. (14-7I) 5. Cap. Cefalong DS 1 bd x 5days (7A-9 = antibiotic) 6. inj. Decadron 2cc I.V./IM 12 hrly x 2 days (9A=steroids) 7. I.V. fluids = Ringer’s lactate & DNS if dehydration Parkland’s Formula for fluid requirement =4x Body weight in Kg x Percentage of area burnt.
When to refer to a Hospital ?If surface are of Burns is >15%If Burns are very deep If face, Neck or eyes are involved.If fumes are inhaled with possibility of lung injury.
