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Table 1 Potential roles of EMT in aftermath of thermonuclear event

From: Justification for a Nuclear Global Health Workforce: multidisciplinary analysis of risk, survivability & preparedness, with emphasis on the triage management of thermal burns

Patient Category Immediate Management Where Role of EMT
Superficial burns up to 30% TBSA Oral resuscitation if over 15%, analgesia, dressings, availability of antibiotics Ambulatory Distribution and instruction in use of ‘individual emergency burn pack’
Superficial burns over 30% TBSA and deep burns up to 40% TBSA Oral resuscitation if over 15%, analgesia, dressings, availability of antibiotics PLUS early excision and grafting of deep burns Field Hospital Manage resuscitation, clean and dress wounds, early excision and grafting.
Rapid training of temporary burn care teams to assist with dressings, positioning, mobilising, hygiene, feeding, etc.
Deep burns over 40% TBSA IV fluid resuscitation, analgesia dressings and transfer if possible Transfer out of area to functioning specialist burns service Confirm triage to ensure appropriate use of very limited transport and specialist services
  1. TBSA total body surface area