A 46-Year-Old Man Is Brought to the Emergency Department After

question 107

Multiple Choice

A 46-year-old man is brought to the emergency department after a burn injury.  The patient is a cook and spilled hot oil on his trunk and legs 30 minutes ago.  The patient has no significant medical history.  Temperature is 36.2 C (97.2 F) , blood pressure is 140/90 mm Hg, pulse is 102/min, and respirations are 20/min.  On physical examination, the patient appears distressed and in pain.  Partial- to full-thickness burns cover approximately 25% of the body surface area, including the lower abdomen, genitalia, and lower extremities.  Intravenous fluids are begun after access is obtained with 2 large-bore peripheral catheters.  Which of the following is the best immediate step in management of this patient?

• A)Cold application to injured areas
• B)Endotracheal intubation
• C)Sharp surgical debridement
• D)Topical antibiotic application
• E)Urethral catheterization