Page 395 - ATP-P 11th Ed

c. Cover the burn area with dry, sterile dressings. For extensive burns (>20%), con-
sider 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.
d. Fluid resuscitation (extrapolated from the USAISR Rule of Ten)
i. If burns are greater than 20% of TBSA, fluid resuscitation should be initiated
as soon as IV/IO access is established. Initiate resuscitation with (order of
preference) Lactated Ringer’s, Plasma-Lyte A/Normosol-R, Normal Saline, or
Hextend; if Hextend is used, no more than 20mL/kg (500–800mL) should be
given, followed by Lactated Ringer’s or normal saline as needed.
ii. Initial IV/IO fluid rate is calculated as %TBSA x 10mL/hr.
iii. If hemorrhagic shock is also present, resuscitation for hemorrhagic shock
takes precedence over resuscitation for burn shock. Administer IV/IO fluids
per the K9TCCC Guidelines in number 6.
e. Analgesia in accordance with the K9TCCC Guidelines in number 10 may be ad-
ministered to treat burn pain.
f. Prehospital antibiotic therapy is not indicated solely for burns, but antibiotics
should be given per the K9TCCC guidelines in number 11 if indicated to prevent
infection in penetrating wounds.
g. All K9TCCC interventions can be performed on or through burned skin in a burn
casualty.
h. Burn patients are particularly susceptible to hypothermia. Extra emphasis should
be placed on barrier heat loss prevention methods.
15. Splint fractures and re-check pulses. SECTION 4
a. Important: Handle an injured canine with a fracture with extreme care and proper
restraint and muzzling, if appropriate. Consider sedation and analgesia before ma-
nipulating the fractured site (see number 10).
b. SAM splints and spoon splints can be applied below the knee or below the elbow.
Ensure sufficient padding is in place along pressure points when applying these
splints to minimize the risk of further injuries.
16. Communication
a. Communicate consistently with the canine handler or assigned escort. Explain care
provided and request support required for canine management and positioning.
Handler and canine should travel together whenever feasible to facilitate handling
and comfort of the MWD.
b. Communicate with tactical leadership as soon as possible and as needed during the
treatment process. Provide leadership with casualty status on a regular basis and
evacuation requirements to assist with coordination of evacuation and dedication
of on-site support assets. Include canine handler or escort in evacuation planning
for casualty management.

ATP-P Handbook 11th Edition 385