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Fri, 22 Feb 2002 08:50:31 BST

Alejandro,

Standard pain control would be to cover burns with clingfilm 
(=saranwrap in the USA I think) to prevent air movement over them, 
plus large doses of opiates (morphine) as part of balanced anaesthesia.

Not sure about flying out the patient you describe - maybe terminal 
care by a local physician near to home with easy access for relatives 
would be nicer. However, I guess the local docs may not feel that they 
can cope with this.

Tim.

> Hy:
> We've been flying a few patients with 90%(+) BSP burns of second and
> third degree, and, some bettween 50 and 90% and I was wondering which
> are your protocols for pain management obviously they were intubate
> because airway burned , the place where we flew from has no ABG's 
> (little town) , but one of them with more than 90% with renal failure,
> and, coagulopathy. I know it's not life compatible but we must do the
> best we can, what do you suggest? Alejandro Cabrera, M.D. 

Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.

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