Major burns are a complex multisystem illness, which require comprehensive care and good multidisciplinary working to manage
Anticipate difficult airway management when intubating, and leave ET tubes uncut
Use the Parkland formula to guide initial fluid resuscitation, and then adjust based on clinical & biochemical endpoints
Escharotomies (if required), early debridement and skin grafting are the major surgical interventions required
Patients with burn injuries are at high risk of infections, which are difficult to diagnose, and extra vigilance is required
The hyperinflammatory state in burns creates a catabolic state requiring high levels of nutrition, and potentially adjunctive treatment
Multimodal analgesia, tailored to the individual patient, is invariably required
