Case
You are called to a 30 year old male who has been burned in a factory blast. His factory colleagues have rescued him and have continually poured water over him for the last 10 minutes.
Assessment
Alert and oriented but in significant pain, he is speaking in full sentences but his voice is husky.
He has partial thickness circumferential burns to his arms, partial thickness burns to the front of his legs, full thickness to his chest and partial thickness to his abdomen and although he was wearing a helmet at the time he is displaying a singed mustache and eyebrows.
Vital signs, RR 26, SaO2 – not obtained, PR 128 palpable at the radial pulse, BP not obtained,
PMHx
Nil known allergies
No significant past medical history
No significant family history
What do you know about the patient? What is the key information? What do you still need to find out?
Outline 3 provisional diagnoses.
Discuss your final diagnosis and the pathophysiology behind the diagnosis. Calculate the fluids required for fluid resuscitation.
Discuss the implications for paramedic practice.
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