

Burn incidence and treatment in the United States: 2016. Once the burn cleaned, topical antimicrobial agent (SS, Mupirocin, polysporin, bacitracin) can be appliedġ.
#SIMS 4 PATCH NOTES APRIL 2018 SKIN#
Debride devitalized skin from blisters that rupture on their own to reduce rate of infection and improve cosmesis.If the blister is large, rupture is imminent, or it impairs with functional movement, it may be aspirated and debrided.


Begin cardiotocographic monitoring in the viable pregnancy (>24 weeks) as soon as possibleĥ.The abdominal wall may be less sensitive to peritoneal irritation because of stretching of abdominal muscles from uterine growth.Significant intra-abdominal injury may be present without significant signs/symptoms.Fetal assessment (fetal heart tones, echo for movement).For hypotension suspected to be due to hemorrhage, O-negative blood is preferred.Be aggressive with fluid resuscitation to avoid shock.Bump the patient (or better yet), displace uterus to the left to prevent supine hypotensive syndrome.Pregnant patients start with lower blood pressures, bleed easier and have later changing vital signs.Anticipate and avoid shock, the principle cause of fetal mortality.Place a chest tube two inter spaces higher.Ventilation will be more difficult due to gravid state.Airway – Anticipate a more difficult airway (decreased O2 reserve, more airway edema, reduced neck motion from c-collar).
