Hi troops, Doesn't get discussed much these days - almost completely overlooked in fact, but can colleagues give me some idea how US EMS is treating burns these days especially the burn first aid aspect. This is a big issue in the UK and elsewhere relative to dressing choices like hydrogels which are still widely used and promoted in the US. My own research suggests there is paranoia about hypothermia in burns in the US driving a lot of decisions about cooling and meanwhile the likes of Water-jel are flogging product everywhere. The clinical evidence is telling us 20 mins of water cooling as a one off procedure then simple clingfilm dressing. Airway priorities, IV placement, analgesia +++ and fluid resus etc, are givens.