- Paediatric burns
- Burn differences
- Can be caused by lower temperatures in paeds
- Poor withdrawn reflexes
- Anatomically different so rule of 9's difficult to apply
- Thinner skin than adults in specific areas
- Assessment can be difficult
- Higher evaporative losses
- Hypothermia with prolongued cooling of burns >15%
- Anaesthesia
- ABC approach as with adults
- Airway
- Uncut tube if necessary
- Intubate earlier rather than later
- Breathing
- Escharotomies
- Supplemental O₂
- Circulation
- Oral if <10% burns
- Monitor glucose and electrolytes
- Parkland's formula and 4/2/1 rule
- Catheterise
- Baseline bloods and G&S
- Disability
- Do not forget child protection issues
- GA for burns
- Monitor ongoing losses
- Can bleed profusely and steadily
- CSL seems a reasonable fluid
- Frequent changes in position may be needed
- Analgesia is key
- Aim for multimodal approach
- Ketamine has been used for dressing changes
- Opiates are the mainstay
- Psychological techniques
- Chronic pain is a problem
- Complications of burns
- Renal failure
- Failure of healing
- Delayed healing
- Infection
- Lines
- Burns
- Wounds
- Toxic shock syndrome can occur and can be hard to diagnose
- CEACCP
Link:ceaccp.oxfordjournals.org/content/7/3/76.full.pdf