Episode 23 S1-23
Triage and Burn Treatmen
Day After Disaster Ch 23
Dr. Ryan Chamberlin
Triaging the Burn Victims:
Medical tents are quite flammable
Without access to water, roll the patient to put out the fire.
Determine who has sustained the least amount of burns. 40% of total body or more burned 50% or less of survival.
Multiple vs. Massive casualties. With multiple casualties you would take the most wounded but with massive casualties you will take the most likely to survive. This would be a massive casualty situation.
Beaux formula - patient's age plus % of body burned, if it equals more than 140 they are likely to survive, with access to medical treatment.
Long Term Concerns:
Pain management. The amount of pain will depend on the depth of burns in any given area. Crazy things happen when nerves start to grow back.
Dehydration is the top concern! Water loss in tissues from burns cause body to start taking water from the blood supply causing the body to go into shock.
Infection is also going to be a major concern. The more surface area of the body exposed without the protection of skin the bigger the chance for infection.
Treatment for Burns:
In a modern medical setting the patient is usually painted with a topical antibiotic ointment. The typical material is Silver Silvadene but it is almost impossible for the typical prepper to stock enough and it is impossible to carry enough in a bug out situation.
The patient is then wrapped in gauze.
In a survival situation packing the wounds with sugar may be a viable solution that inhibits bacterial growth. The burned areas should still be wrapped and the patient should be kept in the cleanest environment possible.
Featured Quote From Today's Chapter:
“There is nothing more you could have done and nothing more you can do now."
Featured Survival Product:
50 Person Multiperson Trauma Medical Unit
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