The secondary survey involves a head-to-toe examination to look for other injuries:
• remove clothing
• examine for wounds
• assess area and depth of burn.
The neurological status is assessed by the patient’s responses using the Glasgow coma
scale or the simpler AVPU system (Alert, responsive to Voice, responsive to Pain or
Unconscious). Remember to assess the pupil reflexes.
Temporary dressings for burns are simple; they should be clean (not necessarily
sterile), moist and cool to reduce pain (but keep the patient warm). Clingfilm or
saline-soaked gauze is perfectly adequate as a temporary dressing. No topical antiseptics/
antibiotics are required at this stage.
• remove clothing
• examine for wounds
• assess area and depth of burn.
The neurological status is assessed by the patient’s responses using the Glasgow coma
scale or the simpler AVPU system (Alert, responsive to Voice, responsive to Pain or
Unconscious). Remember to assess the pupil reflexes.
Temporary dressings for burns are simple; they should be clean (not necessarily
sterile), moist and cool to reduce pain (but keep the patient warm). Clingfilm or
saline-soaked gauze is perfectly adequate as a temporary dressing. No topical antiseptics/
antibiotics are required at this stage.
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