a. Assess and treat as a trauma casualty with burns and not burn casualty with injuries.

b. Facial burns, especially those that occur in closed spaces, may be associated with inhalation injury. Aggressively monitor airway status and oxygen saturation in such patients and consider early surgical airway for respiratory distress or oxygen desaturation.

c. Estimate total body surface area (TBSA) burned to the nearest 10% using the Rule of Nines.

d. Cover the burn area with dry, sterile dressings. For extensive burns (>20%), consider placing the casualty in the Heat-Reflective Shell or Blizzard Survival Blanket from the Hypothermia Prevention Kit in order to both cover the burned areas and prevent hypothermia.

e. Fluid resuscitation (USAISR Rule of Ten)

f. Analgesia in accordance with the TCCC Guidelines in Section (10) may be administered to treat burn pain.

g. Prehospital antibiotic therapy is not indicated solely for burns, but antibiotics should be given per the TCCC guidelines in Section (11) if indicated to prevent infection in penetrating wounds.

h. All TCCC interventions can be performed on or through burned skin in a burn casualty.

i. Burn patients are particularly susceptible to hypothermia. Extra emphasis should be placed on barrier heat loss prevention methods.