SCCM Resource Library-Acute Burn Care for Non-Burn Clinicians

Video Transcription

Video Summary

The video transcript provides an overview of acute burn care for non-burn clinicians. It emphasizes the importance of burn care knowledge among non-specialist clinicians, as burn patients may end up in non-burn centers during certain situations. The speaker discusses the management of burn patients during mass casualty situations, highlighting the use of time-smearing and the importance of treatment options such as telemedicine and oral resuscitation techniques.<br /><br />The speaker also touches on the different types of inhalation injuries associated with burns, such as gaseous toxicity and upper airway obstruction. The importance of identifying and treating carbon monoxide toxicity in burn patients is emphasized. The challenges of intubating burn patients, particularly in children, are discussed, as well as the complications associated with airway obstruction and lung injury. The need for aggressive pulmonary toilet and optimal PEEP in burn patients is emphasized.<br /><br />The video also covers the complex process of burn resuscitation, including the challenges of managing fluid balance in burn patients and the use of the Parkland formula to estimate fluid requirements. The importance of adjusting fluids based on factors such as burn size, depth, age, and delayed resuscitation is highlighted. Lactated ringers is recommended as the fluid of choice for burn resuscitation. The importance of monitoring urine output and using dynamic hemodynamic monitoring for more accurate information is discussed.<br /><br />Complications in burn resuscitation, such as compartment syndrome, airway obstruction, coagulopathy, and bronchospasm, are also addressed. Treatment options for reducing airway mucosal edema, bronchospasm, and coagulopathy are mentioned, including nebulized epinephrine, nebulized heparin, and intravenous antithrombin. The potential use of cellular therapy with mesenchymal stem cells to reduce lung injury caused by smoke inhalation is also mentioned.<br /><br />Overall, the video provides an overview of the important considerations and treatment options for non-burn clinicians in the management of acute burn care.

Asset Subtitle

Integument, Crisis Management, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Formulate treatment options when no burn beds are available
Compare different management options for inhalation injury
Discuss initial resuscitation management in burn patients

Treatment Options When No Burn Beds Are Available

James C. Jeng

Initial Resuscitation of Burn Patients

Tina L. Palmieri

Treatment Options for Inhalation Injury

Perenlei Enkhbaatar

Meta Tag

Content Type Presentation

Knowledge Area Integument

Knowledge Area Crisis Management

Knowledge Level Foundational

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Burns

Tag Resource Allocation

Year 2020

Keywords

acute burn care

non-burn clinicians

burn patients

mass casualty situations

telemedicine

inhalation injuries

carbon monoxide toxicity

intubating burn patients

burn resuscitation

fluid balance

complications

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