What is the initial management for a thermal burn greater than 10% TBSA?

What is the initial management for a thermal burn greater than 10% TBSA?

• A. Stop burning process and cover with dry sterile dressing
• B. Apply ice
• C. Wash with soap and water
• D. Apply ointment

Answer: (A)

Stopping the burning source and protecting the wound with a clean, dry sterile dressing is the best initial step because it immediately halts further tissue injury and reduces contamination and pain without adding moisture, ointments, or cold injury. Ice can cause additional tissue damage and hypothermia, washing with soap and water isn’t the recommended first action for a large burn, and ointments can trap heat and make later assessment harder. After stopping the burn and covering, manage ABCs, monitor for inhalation injury, keep the patient warm, and arrange rapid transport to appropriate care.

Stopping the burning source and protecting the wound with a clean, dry sterile dressing is the best initial step because it immediately halts further tissue injury and reduces contamination and pain without adding moisture, ointments, or cold injury. Ice can cause additional tissue damage and hypothermia, washing with soap and water isn’t the recommended first action for a large burn, and ointments can trap heat and make later assessment harder. After stopping the burn and covering, manage ABCs, monitor for inhalation injury, keep the patient warm, and arrange rapid transport to appropriate care.