Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a 15% TBSA full-thickness (third-degree) burn sustained via [thermal/chemical/electrical] mechanism. Patient reports [pain/anesthesia] at the site, with clinical presentation of leathery, charred, or pearly-white eschar. No immediate signs of airway compromise or inhalation injury noted.
Clinical Examination Findings
Physical examination reveals a 15% TBSA full-thickness burn characterized by non-blanching, insensate, leathery eschar. Surrounding tissue exhibits signs of edema. Capillary refill is absent in the affected area. Peripheral pulses are [palpable/diminished] distal to the injury.
Treatment Protocol
Immediate management includes aggressive fluid resuscitation per Parkland formula, wound debridement, and application of topical antimicrobial agents (e.g., silver sulfadiazine or mafenide acetate). Surgical consultation for early tangential excision and autografting is planned. Pain management and tetanus prophylaxis initiated.