USMC, 373 MWSS here. I was an aircraft rescue firefighter. Had to do all the emt training too. I love your videos. Everyone, listen to this man! His knowledge is thoroughly amazing.
Its great to see a US practitioner advocating a water cooling simple dressing approach to burn first aid. Unfortunately there is no consensus in the US and a swathe of vastly different approaches are still used by EMS and advocated by various providers and bodies including dry dressing and burn gel pads. There is also no universally accepted standard approach even among major US medical bodies like the ABA and CDC, the first aid provider organisations etc. The rest of the Western world has pretty much adopted either a 10 or 20 min water cooling approach followed by simple dressing using clingfilm or basic clean bandaging. The old argument about cooling induced Hypothermia issues still stifles advancement of care in US EMS but this has occurred because of the failure to delineate roles in first aid. Cooling is done by the first primary carer not EMS unless it has not occurred. Even in this circumstance, such are the multiple benefits of early water cooling that a slightly longer at scene time to complete cooling is not prejudicial to the patient. If completed before ambulance arrival the priority for EMS then is to aggressively warm the pt, manage shock and pain management, secondary injury Mx etc. The whole approach to burn first aid has been a muddle for decades. In the US the big gel pad makers - especially Water-jel have had a regressive affect on development of a standard model of care for all thermal burns for years.
USMC, 373 MWSS here. I was an aircraft rescue firefighter. Had to do all the emt training too. I love your videos. Everyone, listen to this man! His knowledge is thoroughly amazing.
I just found your channel and I'm learning many things thank you for sharing
The first video I watched from Kieram Litchfield was a poo tour guide👁️👄👁️
Its great to see a US practitioner advocating a water cooling simple dressing approach to burn first aid. Unfortunately there is no consensus in the US and a swathe of vastly different approaches are still used by EMS and advocated by various providers and bodies including dry dressing and burn gel pads. There is also no universally accepted standard approach even among major US medical bodies like the ABA and CDC, the first aid provider organisations etc. The rest of the Western world has pretty much adopted either a 10 or 20 min water cooling approach followed by simple dressing using clingfilm or basic clean bandaging.
The old argument about cooling induced Hypothermia issues still stifles advancement of care in US EMS but this has occurred because of the failure to delineate roles in first aid. Cooling is done by the first primary carer not EMS unless it has not occurred. Even in this circumstance, such are the multiple benefits of early water cooling that a slightly longer at scene time to complete cooling is not prejudicial to the patient. If completed before ambulance arrival the priority for EMS then is to aggressively warm the pt, manage shock and pain management, secondary injury Mx etc. The whole approach to burn first aid has been a muddle for decades. In the US the big gel pad makers - especially Water-jel have had a regressive affect on development of a standard model of care for all thermal burns for years.
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What about a third degree burn that is smaller than a dime in area?