Round 28 (Burn)

You are working a shift at ABEM General when you receive a call from EMS over the radio for a patient involved in a house fire.











Initial Vitals











* Temp 99.0* HR 150* RR 40* BP 90/50* O2 95%











Critical Actions











* Administer 8L IVF in first 8 hours* Administer supplemental oxygen for CO poisoning* Administer TDAP* Give hydroxycobalamine for cyanide toxicity* Obtain head CT to diagnose SDH











Further Reading:











Cyanide Poisoning (LITFL)











Carbon Monoxide Poisoning (EMCrit)