Case Study #1: J.B. • 6 y.o. female pulled from burning house, apneic upon arrival to rural clinic; intubated by GAT • Flight estimated 60% TBSA, Burn ED placed at 75% TBSA • Escharotomies to bilat thighs, fascio to calves, Dobhoff with enteral feedings (11.18.09) • Amputation of all left digits, albumin continued (11.18.09) • MRSA cultured from ET tube (11.17.09), trached (11.20.09) • Acute septicemia (11.23.09) • Burns evolved to 95% TBSA at time of death (11.30.09) • Final diagnosis at time of death: rhabdomyolysis, hypokalemia, MRSA septicemia, fungemia, hyperchloremic metabolic
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Case Study #1: J.B. 6 y.o. female pulled from burning house, apneic upon arrival to rural clinic; intubated by GAT Flight estimated 60% TBSA, Burn ED placed.
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Case Study #1: J.B.Case Study #1: J.B.
• 6 y.o. female pulled from burning house, apneic upon arrival to rural clinic; intubated by GAT
• Flight estimated 60% TBSA, Burn ED placed at 75% TBSA
• Escharotomies to bilat thighs, fascio to calves, Dobhoff with enteral feedings (11.18.09)
• Amputation of all left digits, albumin continued (11.18.09)
• 6 y.o. female pulled from burning house, apneic upon arrival to rural clinic; intubated by GAT
• Flight estimated 60% TBSA, Burn ED placed at 75% TBSA
• Escharotomies to bilat thighs, fascio to calves, Dobhoff with enteral feedings (11.18.09)
• Amputation of all left digits, albumin continued (11.18.09)
• MRSA cultured from ET tube (11.17.09), trached (11.20.09)
• Acute septicemia (11.23.09)• Burns evolved to 95% TBSA
at time of death (11.30.09)• Final diagnosis at time of