EMS Protocol of the Week - Burns (Adult and Pediatric)

Prehospital burn management heavily focuses on exposure control by removing the source of burning and dressing wounds appropriately. Note the highlighted importance of removing any potentially constricting objects such as rings before edema develops. If ALS is on scene, they may initiate fluid resuscitation and manage pain, or they may call OLMC for guidance on either front. From there, it’s all about transport to the appropriate facility. The attached appendix lays out the criteria we use in NYC to determine whether patients should bypass closer hospitals to go to the nearest burn center.

See you all next week! www.nycremsco.org and the protocols binder for more!

Dave