37. Tell new EMT-Bs that the old textbooks describe using aluminum foil as the airtight dressing for eviscerations. Today, plastic wrap is preferred as an occlusive dressing, because the sharp edges of the aluminum foil may cause further damage to abdominal organs. P RECEPTOR P EARL
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41. Cover wound with gloved hand. Place occlusive dressing over wound.
42. Place dressing over occlusive dressing. Bandage. Do not compress both carotids or restrict breathing.
52. Tell new EMT-Bs that an alternative way to determine the BSA estimate is the “Rule of Palm,” which uses the patient’s palm surface area as a unit of measurement. The patient’s palm is considered equal to approximately 1% of the BSA. Using this method, you can mentally estimate a burn area on any age patient. For example, if the burn area is equal to “7 palm surface areas,” the burn would be estimated at 7% BSA. P RECEPTOR P EARL
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61. Infants and Children Burn Severity Critical Any full-thickness burns Partial-thickness >20% BSA or involving hands, feet, face, genitalia Moderate Partial-thickness, 10 – 20% BSA Minor Partial-thickness, <10% BSA