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Acute burns
Checklist
WIPER
Physiological parameters
General
Resuscitate patient.
ITU support: airway, hydration, analgesia and antibiotics.
Comment on dressings already applied.
Look
Site of the burn
Airway compromise risk factors: singed nasal hairs, perioral burns, blistered palate, swelling of tongue or naso-oral mucosa, hoarse voice due to laryngo-oedema, swollen uvula
Percentage of total body surface area (TBSA) burnt
Circumferential burns to chest or limbs
Depth of burn:
superficial (epidermal)
superficial partial-thickness (superficial dermal)
deep partial-thickness (deep dermal)
full-thickness
Assess any structure(s) involved at the base of the burn.
Feel
Sensation/tenderness
Capillary refill time in burn, peripheral and centrally
Moist or dry burn
Assess peripheral pulses
Assess chest movements if any circumferential burns
Identify compartment syndrome in circumferential limb burns