Forum Asst. Chief
I have NEVER been taught to use any salves, creams, etc. it’s not in the protocol anywhere I can find for EMT/P.
After all the put downs and insults I'm going to persevere anyway and stick my nose in here because this issue matters to me and I have many years of work invested in it Tigger so go ahead like the rest and tell me where to go, tell me my delivery sucks again, I should learn to put out fires before I dare to have an opinion or use any other kind of invective if you or others feel so inclined.
You guys shouldn't laugh - I can point you in the direction of YouTube videos stating categorically that such approaches are great for burns. Like toothpaste, turmeric powder, vinegar, potato peels, egg whites and even more heat applied to the burn - a chef reckoned that was the way to go.Make sure to follow it up with a 100ml bolus of mustard over the next 6 hours.
Clearly all the things I have said warrant insults, abuse, accusations, put downs, condescension and otherwise deciding there and then I am some kind of second rate smartarse, scumbag idiot that deserves a mob put down. Its obvious from the years of contributions I have made here I was deserving of such vilification. I wonder how many here have actually read all that I have written and taken into account all I have offered? 20 documents, some of which I paid for uploaded free of charge and not asking anything in return.OP, here's why your thread took the direction it did:
"Being disappointed at the response to my original post on this topic and quite willing to say I have an agenda I've decided to throw some sand around to get some attention."
That was the first sentence of your first post. It was a nonstarter for me.
Yes, all this might be covered in one of your 20 papers (and I will admin, I didn't read any of them), but those are all valid questions in my opinion, ones I haven't seen you answer in this thread.It didn't tell me any of the following:
- What I'm doing wrong
- What I should be doing
- How to implement it
- Consideration of variables for availability of burn hospital care, transport times, level of service, etc...
If you can explain what I'm doing now, how and why it's wrong, and what I should be doing, and then tell me the limitations of that, I'm eager to hear it.
Do we do a 20 water cooling if we are 10 minutes from a burn center? Do we do it of we are 1 hour from a local trauma center with no burn capability, which will have to transfer another hour by flight another to a burns center? Does this apply to only thermal burns? How does the availability of active warming change things? (Yes, we have active warming.)
If you can present THIS information, I am open to listening. I'll even give you the first one:
My protocol is to apply dry sterile dressing and wrap in plastic wrap.
Because he’s been working on this for many years and apparently no one is listening to him..the only one who seems to be offended here is you, and, quite honestly, I am not seeing why you are so indignantly offended.
I hope you all enjoy the documents I uploaded. There's a fair bit of half decent information if you're interested.Yes, all this might be covered in one of your 20 papers (and I will admin, I didn't read any of them), but those are all valid questions in my opinion, ones I haven't seen you answer in this thread.
Because he’s been working on this for many years and apparently no one is listening to him..
Clinically, cooling with running water for 20 minutes is so beneficial that in isolated thermal burns - so no multi trauma, RSI for airway required etc. the time frame to ED is not the primary consideration. And 8 minutes won't change anything anyway and its likely cooling in the ED is problematic from a practical standpoint besides.I was curious and bored so I looked up our stats.
We are a single station urban department that takes ~7500 EMS runs per year.
In the last 4 years, we have been dispatched on 27 "burn" runs
Of those, based on documentation, I would consider 3 of those runs to be significant.
Of those "significant burns" (>10% BSA), I would say 1 of them could have potentially benefited from the idea of 20 minutes of flushing. I say potentially benefited because I'm not convinced that delaying transport for 20 minutes to flush is a good idea when you're only 12 minutes from a burn center.
Trump left Twitter for EMTLife..????What I have seen here and in the OPs other thread of essentially the same topic is a theme of obsession, grandeur, thoughts of persecution, and lack of insight. I think that there are some concerns here, but burn management problem isn't the most pressing one.