Pre-Transport Support Guidelines

Inhalation injury or large % BSA; intubate if requested by receiving hospital; give high flow oxygen to maintain oxygen saturation of greater than 92% with humidification.

Calculate fluid resuscitation from time of injury as Time 0; give 1/2 calculated volume in first 8 hours; 2nd 1/2 volume within the remaining 16 hours based on the following:

• 2.0 - 4.0 cc Ringers Lactate X % BSA X Lean Weight per 24 hours

monitor fluid balance (will require a Foley catheter)

perform baseline investigations

perform escharotomies on circumferential deep 2nd or 3rd degree burns if nerve or circulatory supply is compromised

keep the patient comfortable with small repeated boluses of intravenous analgesics given on a PRN basis

cover the affected area with a sterile sheet; assist to keep the affected body part elevated to reduce edema if not in shock

If transport to a specialized facility is indicated and undertaken, the following support is required:

Within One Hour

Within Four Hours

After Eight Hours

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