Primary Survey (ABCDE)

• Airway: Evaluate for facial/neck involvement or inhalation risk.
• Breathing: Provide oxygen, assess ventilation.
• Circulation: Control bleeding, establish IV access, begin fluids.
  • Parkland Formula for initial fluid calculations for 2ed degree burn.
  • Large-bore peripheral or central access.
  • Endpoints: U/O - Urine output (0.5-1 cc/kg/h)
  • Risks: Over-resuscitation (“fluid creep”), under-resuscitation.
• Disability: Quick neurological assessment.
• Exposure: Fully expose patient; prevent hypothermia.

Additional considerations: fluids, analgesia, labs, imaging, tetanus, tubes, documentation, transfer planning.