A patient has suffered partial- and full-thickness thermal burns to the anterior chest, abdomen, and arms in an industrial accident. What action would be appropriate in the care of this patient?
A) Cool the burns with water for 90 seconds and cover the burns with a sterile, dry burn sheet.
B) Cool the burns with water on scene and during rapid transport to the emergency department.
C) Cool the burns with water for 2 minutes and cover the burns with saline-soaked dressings soaked in sterile water.
D) Cool the burns on scene and apply ice packs to the burned areas during transport.
Question 2
An alert and oriented 18-year-old female has threatened to hurt herself, but is refusing transport to the hospital. She is calm and states that she knows her rights and taking her would constitute false imprisonment. Her family is present and wants her to go to the hospital for help. Given the situation and the patient's threat, what is your best course of action?
A) Physically restrain the patient for transport.
B) Contact law enforcement for assistance.
C) Have the patient sign a refusal that is witnessed by family.
D) Transport the patient on her father's consent.
Changes in chest configuration and posture
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