Question

T.J., a 44-year-old Amish woman, was brought to the Emergency Department with extensive full-thickness circumferential burns to her upper body including her chest, back both arms. Her stove exploded while she was manually lighting her oven with firewood and kerosene. She complains of feeling cold; she cannot remember the accident; her voice is hoarse and she has difficulty talking. On physical exam there are dark brown, leathery burns involving the head, neck, chest and arms. Her hair and eyebrows are singed.

What immediate concerns does this vignette raise?

What fluid replacement issues are indicated?

What are the potential issues for referral and transfer?

If transfer occurs to a burn care center, what interventions should occur prior to transfer?

Answer 1

Cence res