Red flags
- Airway burn (soot, singed hair, hoarse)
- Circumferential deep burn — escharotomy
- >15% TBSA adult / >10% child
- Electrical, chemical, or inhalational burn
First steps
- ABCDE + intubate early if airway concern
- Parkland formula: 4 mL × wt × %TBSA (½ in 8 h, ½ over next 16 h) — LR/Hartmann
- Analgesia, tetanus
- Cover with cling film
Key investigations
- COHb (fire), cyanide
- ABG, CK, U&E, ECG (electrical)
- Bronchoscopy for inhalation
Differentials
- Scald vs flame vs chemical vs electrical vs radiation
Initial management
- Escharotomy for compartment syndrome
- Silver sulfadiazine or nano-crystalline silver dressing
- Referral to burns unit per ANZBA/BABI criteria
Referral
- Burns unit
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