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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: “You 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 use.” 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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