Any<unk>  involving the dermis, superficial partial-thickness, or deeper allow for significant transdermal fluid losses<unk>  >60% BSA often associated with cardiac output depression unresponsive to fluids
Inhalation injury is main cause of mortality
Half of patients admitted to<unk> centers develop ARDS
Half of patients admitted to<unk> centers develop ARDS
Explains the dynamic nature of<unk> injuries and how assessment of size and depth at the time of injury can be different compared to 48 hours later
Immerse wounds in cold water (1-5˚C)
Only effective within first 30 mins
No direct ice to wound
Do not apply creams or ointments
Remove all<unk> d/burning clothing, jewelry
Also remove rings or jewelry distal to injury due to anticipated swelling
Assess for signs of inhalational injury
Hoarse voice, soot in nose or mouth, stridor, wheezing
Start humidified O2
Intubate if necessary (see below)
Intravenous fluid (see below)
Only effective within first 30 mins
No direct ice to wound
Do not apply creams or ointments
Also remove rings or jewelry distal to injury due to anticipated swelling
Hoarse voice, soot in nose or mouth, stridor, wheezing
Start humidified O2
Intubate if necessary (see below)
Burns
Smoke inhalation injury 
Sore throat
Chemical injury
Fever and rash
Acrolein
Dermatitis
Hydrochloric acid