Protocol 2-176 - Burns

CMH EMS & MIH Protocols


Age:
Patient weight (lbs): (kg):
Hours since burn: (OPTIONAL, only needed if calculating Parkland Formula.)
Percent BSA of 2nd° and 3rd°: (OPTIONAL, only needed if calculating Parkland Formula.)

EMD:

EMR:

EMT:


AEMT:

RN:

Medic:

CP:


NEMSIS Protocol: 9914085 - Injury-Burns-Thermal

Citations:


Change Log:

DateLink to
previous
version
Description of change
01/29/14pdfAdded consider saran wrap. Replaced Parkland formulas with new ABLS fluid guidelines. Added consider direct transport to burn center guidelines. Added contraindication for King Airway and 7.5 ET tube desired.
12/12/14pdfAdded stop the burning process. Added remove all jewelry. Added keep patient warm. Detailed fluid bolus dose for pediatrics greater than 6 yr and less than 6 yr. Added weight-based dose for greater than 65yr for Fentanyl. Added reference to Poisoning for smoke inhalation.
12/12/14pdfMade Intubation and RSI DELIBERATE ACTIONS. Added indications for RSI.
03/02/15Removed DELIBERATE ACTIONS.
04/14/15Added consider to limb leads.
02/03/16pdfAdded EMD section.
07/22/16pdfMoved fluid bolus to AEMT section.
09/22/17pdfRemoved medical control for calcium chloride jelly for HF exposure.
08/24/18pdfAdded link to poisoning protocol. Removed comment to titrate LR to SBP. Added rule of nine graphic.
08/24/18Per Dr. Kramer, added bolded DECON to every step and every level. Added comment that any Fluorine exposure can be treated as HF exposure.
07/23/19Added link to new hemorrhage protocol.
04/12/20pdfAdded HF acid content (without substantive modification) from old Protocol 4-140 - PoisoningOverdose. Added content (without substantive modification) from old Protocol 5-030 - Burns. Added link to Protocol 1-300 - Ambulance Operations for hazardous atmosphere standby.
11/13/20pdfAdded modified Parkland formula based on new recommendations from PHTLS version 9.
06/06/21pdfMoved to emsprotocols.online
10/14/21pdfChanged 2-176-01 to 2-176-50 link.
03/15/23pdfClarified RN and medic roles. Added CP.
03/19/23Changed links for LR.
03/20/23Changed link for Calcium

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