Acute Management of Burn Injury in Conflict

Description

This presentation led by Alan Kay discusses comprehensive management strategies for burn injuries, particularly in military settings. The discussion begins by emphasizing the nature of burns in combat, highlighting that many occur due to secondary ignition rather than direct strikes, despite the existence of incendiary weapons like flamethrowers and thermobaric explosives. Kay underscores the importance of understanding legalities surrounding these weapons and their potential to increase burn casualties.



He details the unique societal context surrounding burns caused by conflicts, especially how civilian behaviors in war zones can increase injury rates, notably among children. Kay stresses the need for caregivers to assess the situation accurately to determine the most effective treatment approach based on location and available resources.



The pathophysiology of burns is also outlined, with discussions on the burn depth's influence on healing and the necessity to manage systemic responses from extensive burn injuries. Kay explains that deeper burns necessitate more intricate care, while superficial burns may heal independently. He emphasizes the importance of cooling the burnt area and pain management through analgesia, using appropriate dressing and when to initiate intravenous fluid therapy based on the burn's size.



As the presentation progresses, Kay elaborates on primary and secondary assessments for burn victims, elaborating on airway management, assessing inhalation injuries, and recognizing the potential complications such as hypovolemic shock and systemic inflammatory responses. He describes steps for thorough wound management, including considerations for escharotomy in cases of constricting burns.



Ultimately, Kay provides guidance on how to maintain a rigorous treatment protocol amidst challenging conditions, recommending careful evaluation of available resources and the prioritization of severe but survivable cases in a burn treatment context. He encourages maintaining high standards of care even under duress, indicating that proper management could lead to better long-term outcomes for burn survivors.

DOI: 10.1302/3114-230069

Specialties