Here is the link to Emergency Medicine Cases’ “Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management“, May, 2019. Episode 124 is an awesome minicourse that is 1:44:43 long.
I’ve put time stamps on the various sections so I can easily listen to specific topics word for word.
Always Consider Non-accidental Trauma in The Pediatric Burn Injury Patient From EMC 124
5:00 – 7:20
EM Cases main episode podcast on Pediatric Non-Accidental Trauma
First Aid For Burns From EMC 124
7:30 – 1030
Managing Burn-Associated Pain From EMC 124
10:30 – 13:45
Burn Classification: Don’t Use 1st, 2nd, 3rd Degree And Burn Assessment Pitfalls From EMC 124
13:45 – 22:00
Burn Size Estimation From EMC 124
22:00 – 29:50
Summarizing Burn Classification, Burn Assessment Pitfalls, and Burn Size Estimation From EMC 124
29:50 – 31:30
Wound Care In Burn Injuries From EMC 124
31:30 – 36:55
Burn Injuries Blisters – to debride or not to debride? From EMC 124
36:55 – 41:00
Indications For Consultation To A Burn Center
41:00 – 43:10
Review of Wound Care
43:10 – 44:50
Resuscitation of the Burn and Inhalation Injuries Patient From EMC 124
44:50 – 51:00
Airway Considerations in the Burn and Inhalation Injuries Patient From EMC 124
51:00 – 57:50
A note on awake intubation – Dr. George Kovacs From EMC 124
57:50 – 1:10:30
[The show notes are excellent as usual but I need to add word for word on talk at 57:50 – 59:14, 1:05:30 – (on anesthetic dyspnea), and 1:08:00 on larygospasm* caused by local anesthetic to the cords (and as always in any airway manuever be ready to recognize and treat laryngospasm)]
*See and review Managing laryngospasm in the emergency department, by Dr. Justin Morgenstern|Published March 3, 2016-Updated January 13, 2019 from First10 EM.
More On Smoke Inhalation Generally
1:10:30 – 1:14:10
[There are so many pearls in this brief section I need to make a transcript – later]
One key concept is to be alert for an early metabolic acidosis. An early metabolic acidosis can be a sign of cyanide poisoning but is more often due to under-resuscitation [I’m not sure of the context of this statement-need to relisten to this]
Indications for ED Escharotomy From EMC 124
1:14:10 – 1:19:00
Cyanide Poisoning in Burn and Inhalation Injuries And Treatment of suspected cyanide poisoning From EMC 124
1:19:00 – 1:27:20
Fluid Resuscitation in Burn and Inhalation Injuries From EMC 124
1:28:40 – 1:35:00
Maintaining Normothermia in Burn and Inhalation Injuries And There is No Role for Prophylactic Antibiotics in Burn and Inhalation Injuries From EMC 124
Indications for Consultation to a Burn Center And Key Take Home Points for Burn and Inhalation Injuries From EMC 124
