Secure ETT

- Use cotton umbilical ties around the neck but ensure it does not cut into the corner of the mouth.
- Consider use of stainless-steel wire secured around a pre-molar tooth prior to long-range transport, particularly in patients with extensive facial burns.
- Frequently reassess position of the ETT during the acute resuscitation period as edema waxes and wanes.
- Avoid use of adhesive tape to secure ETTs, as this is not a safe method in burn patients. Tape does not stick well to burn patients. Do not use tape to secure an ETT.

Keep the patient warm. Burns increase insensible heat loss. Burn casualties with injuries >20% TBSA are at high risk of hypothermia.

NOTE: Do not debride blisters until the patient has reached a facility with emergency medical or surgical capability. Cover burns with loose, dry gauze or a clean sheet.