BMJ Best Practice Podcast Burns
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May 21, 2024 A podcast episode discussing the management of burns, highlighting the prevalence and complications of burns injuries. Topics include diagnosing and managing burns, tetanus assessment, pain management, tissue removal techniques, and debunking common myths about burn treatment.
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Cool Immediately, Avoid Ice
- Cool small scalds promptly under running lukewarm or cool water to reduce heat; avoid overcooling and hypothermia.
- Do not apply ice directly to burns as it can cause further tissue damage.
Use Antibiotics Selectively
- Avoid routine systemic antibiotics for small burns; studies show no reduction in infection but more adverse effects.
- Reserve IV antibiotics for toxic patients, rapid cellulitis, or confirmed wound pathogens like pseudomonas.
Control Pain Through Dressings
- Prioritize wound-management strategies that reduce pain, such as moist occlusive dressings, to minimize opioid use.
- Provide oral or parenteral analgesia for larger injuries but tailor to patient needs.