13d • Daily TACMED Trainings
Burn Management (Tactical Setting)
Tactical Burn Care — Key Priorities
🟩 Care Under Fire:
- Prioritize getting to cover.
- Only life-saving interventions (e.g., tourniquet if needed).
- Evacuate from danger zone ASAP.
🟨 Tactical Field Care:
🧠 Assessment (Primary Survey)
- Airway: Ensure no facial burns or soot indicating airway compromise.
- Breathing: Watch for smoke inhalation—may worsen over time.
- Circulation: Burn shock is real. Monitor for signs of hypovolemia.
- Disability: Check for associated trauma (blast injuries, falls).
- Exposure: Remove smoldering clothes unless fused to skin.➤ Prevent hypothermia even in hot environments.
🚑 Treatment Principles:
- Dry, clean dressings (preferably burn dressings if available).
- Avoid applying ointments or ice in the field.
- Pain management is critical—consider oral or injectable meds if within protocol.
- Fluids: For large burns (>20% BSA), initiate fluid resuscitation if prolonged evac time.
🔺 Rule of Nines (Adult Burn Estimation):
- Head = 9%
- Each arm = 9%
- Each leg = 18%
- Torso front = 18%
- Torso back = 18%
- Genitalia = 1%
⚠️
Watch For:
- Hoarse voice, stridor = airway swelling — prepare for advanced airway
- Circumferential burns = risk of compartment syndrome
- Electrical burns = suspect internal injuries
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Burn Management (Tactical Setting)
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