Initial Burn Management

Learning Objectives
Identify early airway risks in pediatric burn patients and prioritize airway assessment and stabilization during initial evaluation
Explain indications for observation versus early endotracheal intubation in children with facial burns or suspected inhalation injury
Apply principles of secure airway management and durable vascular access in the initial resuscitation of pediatric burn patients
Analyze burn‑specific secondary survey findings to detect neurologic injury, inhalation injury, and compartment syndromes that impact airway and ventilation
Evaluate indications and techniques for decompression procedures (e.g., escharotomy, fasciotomy, ocular decompression) to prevent respiratory and circulatory compromise
Author(s)
Robert Sheridan, MD
Burn Service Medical Director | Shriners Hospital for Children
Interim Chief of Staff | Shriners Hospital for Children
Attending surgeon | Mass General burn unit
Aleksandra E. Olszewski, MD
Physician, Assistant Professor of Critical Care Medicine and Pediatrics, Department of Critical Care Medicine | UPMC Children's Hospital of Pittsburgh
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Citation
Sheridan R, Olszewski AE, Wolbrink TA. Initial Burn Management. 8/2013. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/2998/initial-burn-management.
