BURNS - CHEMICAL INJURY
ALL LEVELS
DESIGNATION OF CONDITION
Signs and symptoms include the following: evidence of dry or liquid chemical contamination and reddening and/or blistering of the skin.
EMPHASIS ON PATIENT CARE
Decontamination, prevention of further injury and exposure, safety of providers, substance identification if possible.
1. Assess the scene for safety. Do not enter area until it has been determined safe for the EMT to have immediate contact with patient.
2. Primary Management - Assess ABC’s and manage as indicated.
a. Decontaminate by irrigating with water if safe to use water.
i. Remove all contaminated clothing.
ii. Brush away dry chemical, prior to irrigating.
iii. Irrigate for minimum of 20 minutes.
3. Remove jewelry and clothing prior to transport.
4. Transport to appropriate medical facility.
5. Secondary Management - History, physical exam, vital signs
a. Estimate percentage of Body Surface Area (BSA).
b. Assess for additional associated trauma.
AEMT / PARAMEDIC
1. In route, initiate one or two large bore IV or IO (determined by patient condition) of an isotonic solution titrate to maintain adequate end organ perfusion.
2. For use of narcotic analgesics, see Pain Management Treatment Guidelines.
3. Maintain body warmth post irrigation.
4. Do not apply electrodes to burned skin areas.
ALL LEVELS
DESIGNATION OF CONDITION
Signs and symptoms include the following: evidence of dry or liquid chemical contamination and reddening and/or blistering of the skin.
EMPHASIS ON PATIENT CARE
Decontamination, prevention of further injury and exposure, safety of providers, substance identification if possible.
1. Assess the scene for safety. Do not enter area until it has been determined safe for the EMT to have immediate contact with patient.
2. Primary Management - Assess ABC’s and manage as indicated.
a. Decontaminate by irrigating with water if safe to use water.
i. Remove all contaminated clothing.
ii. Brush away dry chemical, prior to irrigating.
iii. Irrigate for minimum of 20 minutes.
3. Remove jewelry and clothing prior to transport.
4. Transport to appropriate medical facility.
5. Secondary Management - History, physical exam, vital signs
a. Estimate percentage of Body Surface Area (BSA).
b. Assess for additional associated trauma.
AEMT / PARAMEDIC
1. In route, initiate one or two large bore IV or IO (determined by patient condition) of an isotonic solution titrate to maintain adequate end organ perfusion.
2. For use of narcotic analgesics, see Pain Management Treatment Guidelines.
3. Maintain body warmth post irrigation.
4. Do not apply electrodes to burned skin areas.