Had a firefighter come in last night with deep 2nd degree burns on buttocks, one side of upper arm and a hand. First ER doc comes in and says cover with dry, sterile cover, 2nd ER doc comes in and says keep saline soaked gauze on. Next thing I know my tech has this woman swimming in "ice" water. I really didn't know what to do at this point.
Patient liked the ice water, room is packed with family and other firefighters. Most of them have heard the one doctor that said wet dressings. Fortunately she was transferring out to the burn center soon.
I have spent the morning looking up initial burn care on the net and am amazed at the lack of initial care cited, except of course for the airway management part. Which I completely understand and have no problem with.
So whats the latest story. What do we do?