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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
Old burns
Checklist
WIPER
Physiological parameters
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