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27 - Burn Patient Management
from SECTION A - CBRNE AND HAZMAT
- By John McManus, Ruben Gomez
Edited by Kristi L. Koenig, University of California, Irvine, Carl H. Schultz, University of California, Irvine
Book:

Koenig and Schultz's Disaster Medicine

Published online:

05 August 2011

Print publication:

30 September 2009, pp 423-429
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Summary

This chapter focuses on the principles of disaster management to highlight the key features of a regional burn disaster plan. It highlights typical injuries that are best treated in the burn center facility. As with any mass casualty situation, casualty triage is an initial action with a burn disaster. One well-described method consists of combining the Simple Triage and Rapid Treatment (START) system with the Age/Total Body Surface Area (TBSA) Survival Grid from the American Burn Association. The next higher level of care should have personnel experienced with burn surgery and postoperative burn care. There should also be blood-banking and microbiological testing capabilities. At the burn center, the work begun at the initial patient care site should continue with greater emphasis on three injury types unique to burns: inhalation injury, chemical injury, and electrical injury. Future comprehensive emergency management plans must account for burn patients.