Protect the cervical spine with immobilisation if there is associated trauma.If suspicion of airway burns or carbon monoxide intoxication apply high flow oxygen.If above present, consider early intubation.Sign of oropharyngeal burn: soot in mouth, intraoral oedema and erythema.Signs of airway burn/inhalation injury: stridor, hoarseness, black sputum, respiratory distress, singed nasal hairs or facial swelling.Like all traumas paediatric burn assessments require a primary and secondary survey with the initial aim of identifying and managing immediate life threats: do not get distracted by the burn injury. Non-accidental injury or vulnerable child Decontamination method (for chemical exposure).Time started (was it within 3 hours and maintained).Cold: direct contact with cold surface or exposure (frostbite).Electrical: voltage, type of current (AC or DC), duration of contact.open space) duration of exposure, inhalation injury Flame / explosion: product that burned/exploded, location (enclosed vs.Contact: estimated temperature and nature of the surface.Scald: estimated temperature and nature of the liquid.Mechanism of injury, including circumstance for specific pattern of burn.Young children are at risk of hypothermia, especially during initial cooling of the burnīurns are described as epidermal, dermal (superficial/mid/deep) and full thickness Assessment History of burn.Assessment of burn depth is difficult, especially early post injury.Children have thinner skin than adults, predisposing them to a deeper burn for any given temperature.Appropriately consented photographs of the burn are very helpful for assessment and monitoring.Ensure adequate analgesia to facilitate assessment and patient comfort.Accurate Total Body Surface Area (TBSA) estimation is essential for fluid resuscitation decision making.Burn injuries should be managed as a Trauma case requiring primary and secondary survey.Burns - Post Acute Care and Dressings Key Points
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