A 3-year-old presents to the emergency department with a burn covering the whole of her right arm. Mum tells you she had a large pot of soup cooling on the kitchen floor when the child came in, slipped and her arm landed in the boiling soup. Pre-hospital the ambulance crew had given her ibuprofen, paracetamol & intranasal diamorphine. On examination the child is very quiet and has blisters all over her arm.
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What is the initial management of the burn wound?
Which of the following options is correct?
On closer examination of the burn you can see multiple large thin-walled blisters on the arm.
With regard to the blisters should you?
In some areas you notice that the skin is dry, has a blotchy red appearance with a delayed capillary refill time and looks similar to the picture shown.
What is the depth of the burn?
You estimate that the size of the burn is 11%. The child weighs 14kg and it has been 2 hours since the time of the burn.
Does the child need fluid resuscitation and if so how much?