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… Disco Inferno

… Disco Inferno. Freddie Stevens. Just to get us up to temperature!. How would you treat a partial thickness burn on a patients forearm as the result of a lighter flame. The patient has a blister on their arm the size of a 10p coin.

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… Disco Inferno

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  1. … Disco Inferno Freddie Stevens

  2. Just to get us up to temperature! • How would you treat a partial thickness burn on a patients forearm as the result of a lighter flame. The patient has a blister on their arm the size of a 10p coin. • 1) Break blister and apply pressure to wound to stop fluid leaking from blister • 2) Place under cold running water for at least 10 mins • 3) Use and ice pack to give R.I.C.E. treatment

  3. Types of Burn • Superficial • Only damage to the outer most skin layers. • Redness, Tenderness and swelling • Partial thickness • Affects epidermal cell layer • Red and raw skin, Blisters for due to fluid leaked from damaged epidermal cells

  4. Types of Burn cont. • Full thickness • All skin layers are affected in this type of burn • May be nerve, fatty tissue, muscle or even blood vessel damage

  5. Causes of burn • Dry burn • Flames, contact with hot objects • Scald • Steam and hot liquids • Electrical burn • Both high and low voltage currents, lightning

  6. Causes of burn cont. • Cold • Frostbite, cryogenic materials, frozen metals • Chemical Burns • Industrial and domestic chemicals. • Radiation burn • Sunburn, UV overexposure, exposure to a radioactive source

  7. When to go to hospital • Full thickness • Everytime!! • Partial thickness • If the burn covers more than 1% of the patients body • Superficial • If the burn covers more than 5% of the patients body (1% = the patients palm and fingers)

  8. When to go to hospital cont. • Any mixed burns • Any burn to a child or OAP • Any burn to face, neck or groin • Any burn that fully encompasses a limb • If in any doubt, ship them out!!

  9. Minor burns and scalds • Superficial burns and smaller partial thickness burns. • Signs • Reddening of the skin • Pain around the burn • Blister

  10. Minor burns and scalds cont. • Our aim • Stop the burning • Relieve pain and swelling • Minimise infection risk • DON’T BREAK BLISTERS • DON’T APPLY ADHESIVE DRESSINGS • DON’T APPLY OINTMENTS OR SPORTS SPRAYS

  11. Minor burns and scalds cont. • Flood the injury for at least 10 mins with cold water • Gently remove and constricting objects in case of swelling • Apply kitchen film to the burn after the flooding.

  12. Severe burns and scalds • Any full thickness burns or larger superficial or partial thickness burns. • Signs • Shock • Pain • Potential breathing difficulties

  13. Severe burns and scalds cont. • Our aim • Stop the burning and relieve pain • Minimise infection risk • Treat for shock • Urgent removal to Hospital • Treat associated injuries

  14. Severe burns and scalds cont. • DON’T REMOVE ANYTHING STUCK INTO THE BURN • DON’T COVER FACIAL BURNS, THIS MAY CAUSE AN AIRWAY PROBLEM OR DISTRESS THE PATIENT • DON’T ALLOW THE PATIENT TO EAT OR DRINK

  15. Severe burns and scalds cont. • Sit or lie the patient down, try not to let the burn contact the ground. 999!! • Flood the burn with cold water for a minimum of 10 mins, beware of overcooling the patient. • Gently remove any constricting or still smouldering objects, but try not to touch the burn. • Cover with kitchen film and continue to cool with water.

  16. Airway burns • Can be from smoke inhalation. • Signs • Soot around the nose and mouth • Redness of mouth and tongue • Horse voice • Breathing difficulties

  17. Airway burns cont. • Our aim • Maintain open airway • Urgent removal to hospital • Loosen any clothing around the neck • Give casualty an ice cube to suck on, or small sips of water

  18. Chemical Burns • Can irritate, burn or even penetrate the skin. • Signs • Chemicals in the vicinity • Intense, stinging pain • Discolouration, blistering, peeling • Swelling

  19. Chemical Burns cont. • Our aim • Make the area safe • Disperse the harmful chemical • Arrange transport to hospital • Ventilate the area to disperse fumes • Wear PPE • Move patient if necessary

  20. Chemical Burns cont. • Flood with water for at least 20 mins • Gently remove contaminated clothing.

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