PFC Podcast: Burns In The Austere Environment

PFC Podcast: Burns In The Austere Environment

42:20 Feb 5, 2026
About this episode
In this episode of the PFC Podcast, Dr. DeMello discusses the complexities of managing burn injuries in a pre-hospital setting. He emphasizes the importance of following established guidelines, understanding the nuances of fluid resuscitation, and the critical role of pain management. The conversation also covers the indications for escharotomy, the significance of cooling burns, and common mistakes made in burn management. Dr. DeMello shares valuable insights from his extensive experience in military medicine, highlighting the need for compassion and effective communication in trauma care.TakeawaysBurns are a major cause of panic in trauma situations.Follow the MARCH guidelines for initial assessment.TBSA calculations are often overestimated in pre-hospital settings.Fluid resuscitation should be based on available resources.Pain management is crucial and should prioritize patient comfort.Escharotomy should be performed with careful planning and timing.Cooling a burn can significantly reduce its severity if done promptly.Compassionate care can greatly improve patient outcomes.Monitoring urine output is essential for assessing kidney function.Avoid common mistakes like neglecting the back in assessments.Chapters00:00 Introduction to Burns and Trauma Care02:07 Initial Assessment and Management of Burns05:58 Fluid Resuscitation Strategies09:58 Pain Management in Burn Patients21:57 Escharotomy: Indications and Techniques34:10 Cooling Burns and Managing Hypothermia40:10 Common Mistakes in Burn ManagementFor more content, go to ????????????????????????????????????www.prolongedfieldcare.org?????????????????????????????????????Consider supporting us: ?????????????????????????????????????patreon.com/ProlongedFieldCareCollective????????????????????????? or ?????????????????????????www.lobocoffeeco.com/product-page/prolonged-field-care??
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