After the completion of the head-to-toe assessment, (See our other article titled, “Assessment of Survivors of Natural Disasters with Non-Life-Threatening Injuries”) the rescuer should begin administering first aid to individuals according to the assessment findings and in alignment to the training they have. CERT trained members receive instruction in the treatment of all the injuries or conditions discovered during the head-to-toe check.
If a potential spine or head injury is discovered during the head-to-toe assessment, special care must be given to maintain the head, neck, and spine in straight alignment during any treatments that may be given and in transporting the survivor.
During the assessment process when injuries are identified, the rescuer is to document, mentally and later in written format, the injuries that need to be attended to once the assessment is completed. These non-life-threatening injuries include burns, wounds, contusions, sprains, fractures, joint dislocations, hypothermia, dehydration, etc. In this article we will focus on the classification and treatment of burns.
There are various types of burns, those caused by radiation, chemicals, electrical current, and by heat. The severity of a burn is influenced by a number of factors, such as:
The specific “classification” of a burn is determined by how many of the skin’s layers were damaged in the burn. Skin has three layers, the outer epidermis layer rich in free nerve endings, the dermis or middle layer containing blood vessels, sweat and oil glands, and the innermost layer called the subcutaneous layer which also contains vessels, fat, muscle and bone.
In burns that cover large areas of the body and where the protective layer of skin has been lost in the burn, you need to take precaution to not over cool the victim and possibly lead to hypothermia. A general guideline is to be cautious of burns covering greater than 15% of the body surface area and very cautious with infants and older persons.
Burns can be very traumatic to the victim. Those providing rescue and intervention treatment to burn victims should be sensitive to the emotional and psychological impact that can accompany burns. A calm and reassuring voice and interaction with victims can help them and you to more effectively deal with the initial trauma allowing for a potentially better long-term outcome for the victim.
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