Maintain patient's temperature (keep patient warm).Sterile dressings are preferred but not necessary.Simple dressing if being transported to burn center (they will need to see the wound).Cover wound with clean, dry sheet or dressing.Advanced Burn Life Support recommendations.During initial or emergent care, wound care is of secondary importance.Increased risk and severity if over-resuscitation.Acute Respiratory Distress Syndrome (ARDS).Possible placement of peritoneal catheter to drain fluid.Signs: increased PIP, decreased urine output despite massive fluids, hemodynamic instability, tight abdomen.Fasciotomies may be needed if pressure does not drop to 30 mmHg.Performed laterally and medially throughout entire limb.Measure compartment pressures with arterial line monitor (place needle into compartment).Compartment pressure >30 mmHg may compromise muscle/nerves.100% oxygen until CO levels are systolic pressure).Patient color ("cherry red" with poisoning).Oximeter (difference in oxy- and deoxyhemoglobin).PaO 2 (partial pressure of O 2 dissolved in serum).Binds hemoglobin with 200 times the affinity of oxygen.Fire consumes oxygen so people may suffer from hypoxia as a result of flame injuries.Remember: Intubation can lead to complications, so do not intubate if not needed. ![]()
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