Step 2

Dermatology 3

A 62year-old man is brought to the emergency department by helicopter 75 minutes after sustaining burns over 35-45% of his total body surface area in a warehouse fire. The paramedics report that the patient was trying to protect his coworkers from an isopropyl alcohol fire that took place at an auto parts warehouse. His pulse is 108/min, respirations are 26/min, and blood pressure is 148/78 mm Hg. The areas of burned skin are covered in a black/brown eschar, with the dermal layer visible in some areas.

Over the next 24 hours, which of the following is the first priority in management?

  • A) Administration of tetanus toxoid
  • B) Broad-spectrum antibiotic therapy
  • C) Excision and grafting
  • D) Hyperbaric oxygen therapy
  • E) Intravenous fluid resuscitation

Authors

Lloyd Taylor

Editor

Dr. Ted O'Connell

Last updated

Jun 06, 2024

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