Burn

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1. Refer all:

    1. 3rd degree burn

    2. >20% of 2nd degree burn

    3. electrical, chemical, respiratory burn

    4. hand, foot, perinium, face, joint burn

    5. 2nd and 3rd degree burn in elderly and children

    6. burn + PMHx

    7. Burn + trauma

2. Treatment

    1. IV therapy

        1. w*%*4, half in 8 hours and rest of it in 16 hours

        2. keep Urine output >0.5cc/kg/hr in child and >1cc/kg/hr in adult

    2. Consider ECG in electrical burn

    3. Consider intubation in smoke burn

3. Treatment of mild burns

    1. immediate cooling with water

    2. Cream silver sulfadiazine bid

    3. Oint fibrinolysin tds

    4. Serum N/S for irrigation

    5. Cap mefenamic acid

    6. tab hydroxyzine 25mg

    7. cap cefalexin 500 mg qid if infected

    8. tetanus vaccination