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Major scald burn — RACP Paediatrics MCQ

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ModerateEmergencyMajor scald burnRACP Paediatrics

A 3-year-old has a partial thickness scald burn involving 12% TBSA covering the anterior chest and abdomen. The child is in pain and has a patent airway. After first aid cooling, what is the most appropriate next step?

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Correct answer: A — IV fluid resuscitation (Parkland formula)

Burns >10% TBSA in children require IV fluid resuscitation using the Parkland formula (3-4 mL × body weight (kg) × %TBSA, with half given in the first 8 hours and the remainder over the next 16 hours). Additionally, maintenance fluids with dextrose are needed in children. Referral to a burns unit is indicated for >5% TBSA partial thickness burns in children.

Reference: RCH Melbourne – 2023 – Burns CPG; RACP Paediatric Curriculum – Emergency