cointosser13
Forum Crew Member
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Here's a fun scenario I think you guys might like.
Its just you (Paramedic) and your partner (EMT) at the station, Engine crew is out and about getting lunch. You have a walk in and someone says "my brother is in my car, he's badly burnt". So you grab up the stretcher and walk up to the car where your patient is lying in the back. First thing you see- patient in his early 20s / approximately 140-160 lbs / 2nd degree burns to his lower abdomen, both arms, neck and face (central facial burns, singed nasal hairs) / 3rd degree burn to his chest and hands. Patient only says "I can't...I can't...". Brother says "he was messing around with a propane tank, I think it exploded because he was smoking". You put him in the back of the ambulance...tell me what YOU would do next. Now I know each of us have different protocols, just imagine you were in a world where your medical director gave you all the power in the world to do anything you wanted to do. What would you do as a provider?
Vitals: BP- 89/46, P-121 (Sinus Tach), SpO2-99% on room air, ETCO2- 22 . Brother states "I know he's had reactions towards morphine and fentanyl in the past". Also states "he's had multiple surgeries on his knees, no medical history".
Some key questions:
Percentage of burn?
Using the Parkland Formula, how much fluid would you give this patient?
Dry or wet burn dressing to cover burns? AND why?
Special type of care you would consider for this patient.
Its just you (Paramedic) and your partner (EMT) at the station, Engine crew is out and about getting lunch. You have a walk in and someone says "my brother is in my car, he's badly burnt". So you grab up the stretcher and walk up to the car where your patient is lying in the back. First thing you see- patient in his early 20s / approximately 140-160 lbs / 2nd degree burns to his lower abdomen, both arms, neck and face (central facial burns, singed nasal hairs) / 3rd degree burn to his chest and hands. Patient only says "I can't...I can't...". Brother says "he was messing around with a propane tank, I think it exploded because he was smoking". You put him in the back of the ambulance...tell me what YOU would do next. Now I know each of us have different protocols, just imagine you were in a world where your medical director gave you all the power in the world to do anything you wanted to do. What would you do as a provider?
Vitals: BP- 89/46, P-121 (Sinus Tach), SpO2-99% on room air, ETCO2- 22 . Brother states "I know he's had reactions towards morphine and fentanyl in the past". Also states "he's had multiple surgeries on his knees, no medical history".
Some key questions:
Percentage of burn?
Using the Parkland Formula, how much fluid would you give this patient?
Dry or wet burn dressing to cover burns? AND why?
Special type of care you would consider for this patient.