A fluid warmer, allowing the warmed transfusion of blood products and intravenous fluids, should be available.31 ...
A fluid warmer, allowing the warmed transfusion of blood products and intravenous fluids, should be available.31
A fluid warmer, allowing the warmed transfusion of blood products and intravenous fluids, should be available.31
A hospital education and play service should be available for children.11
Staffing models should promote shared care between burn and critical care teams as this may improve safety.45
Patients requiring burn or plastic surgery procedures should be managed by anaesthetists who have an appropriate level of training in this field, have regular commitment to the burn and plastic surgery specialty, and have acquired the relevant knowledge and skills needed to care for these patients.
In order to maintain the necessary repertoire of skills, anaesthetists providing a burn and plastic surgery anaesthetic service should have a regular commitment to the specialty, and adequate time must be made for them to participate in a range of relevant continuing medical education (CPD) activities.
Anaesthetists need time to cover the following essential points in the more immediate preoperative phase. The anaesthetic room is not usually an appropriate place for this except in an emergency.
Assessment
A small number of centres perform burn surgery. These centres should offer external training opportunities for anaesthetists, nursing staff, physiotherapists and other members of the multidisciplinary team.48
Anaesthetists who provide emergency care outside burn services should be trained in the initial management of the patient with severe burns, including timely emergency assessment, resuscitation, and transfer to a burns service, through the EMSB (Emergency Management of the Severe Burn) or an equivalent course.49