Burn Injury Assessment by ProQuest


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									                                                                                                                                             Virtual Training Director
                                    By Greg Friese, MS, NREMT-P

                                    Burn Injury Assessment
                                    An interactive lesson plan for burn injury management and care

                                      The Virtual Training Director is a column for training officers that   Group Training Outline
                                    utilizes the content of feature articles in EMS Magazine to help
                                                                                                              1. Introduce the training topic of burn injury
                                    facilitate training sessions. Use or adapt this lesson plan for your
                                                                                                            assessment by describing the team activity to prepare
                                    organization, its personnel and its local protocols.
                                                                                                            a patient and then assess all of the other patients.
                                    Essential Information                                                     2. Review the following concepts from the article.
                                      Burns are associated with dramatic mechanisms and often                 Add additional content as needed based on your group’s knowl-
                                    present visual damage that can range from the curious to the            edge and experience.
                                    horrific. In the burns overview CE article on page 83, you will find        a. Burn severity: superficial, partial-thickness and full-thickness
                                    an excellent primer on burn injury types, assessment and prehos-          b. Systemic inflammatory response syndrome
                                    pital care. The authors remind us of the importance of burns rela-        c. Zones of injury: hyperemia, stasis and coagulation
                                    tive to trauma, as well as the need to manage ABC life threats            d. Burn types: thermal, electrical and chemical
                                    before specifically caring for burns. EMS providers need to use           TEACHING TIP: Ask participants to define these terms in their own
                                    mechanism of injury details and patient assessment findings to           words with concrete examples.
                                    identify the burn cause, severity and type. Use that information
                                    to prepare a treatment plan and implement transport to the most           3. Preparation of interactive activity
                                    appropriate receiving facility.
                                      Rather than simply presenting a lecture on burns based on the
                                    information in the article, I have outlined an interactive training
                                                                                                              Divide participants into three- or four-person teams. Make one
                                                                                                            person in each team a patient. Each team will plan and deliver a
                                                                                                            patient assessment scenario that includes:
                                                                                                                                                                                          may also
                                    session for participants to create simulated burn injuries that           a. Selecting a specific burn MOI—chemical, thermal or electrical
                                    other participants will assess. Before your training session, ask         b. Using moulage to apply a simulated burn injury to their patient          wish to
                                    members to read the article so they have the necessary burn knowl-        c. Preparing other vital sign and injury findings appropriate to             prepare
                                    edge needed for the interactive small group work. (Remember: You        the patient’s burn injury and MOI
                                    can make and distribute copies of any of our articles for education       TEACHING TIP: Each team will probably need 15 to 30 minutes to               patient
                                    purposes.)                                                              plan their scenario and apply moulage to their patient. Give a check
                                      Time needed: 1 to 2 hours.                                            sheet to each team so they plan all needed components. Assist                 profiles
                                                                                                            participants in applying moulage that is realistic for the burn injury
                                                                                                            type and severity.                                                           that each
                                    Instructor Preparation
                                                                                                              4. Assessment rodeo                                                        team may
                                                                                                              In a large classroom or outdoor space, arrange patients in a
Photo courtesy Image Perspectives

                                                                                                            circle, about 15 feet apart. The remaining members of each team
                                                                                                            will have five to seven minutes with each patient to:
                                                                                                              a. Determine mechanism of injury
                                                                                                              b. Expose injuries
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