Thermal burn cooling — DipIMC MCQ
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Correct answer: A — Cool the burn with running water for 20 minutes and prevent systemic hypothermia
Cool the burn with running water for 20 minutes and prevent systemic hypothermia is the best answer because early burn cooling reduces depth, but children must be kept warm overall. Give unrestricted crystalloid to normalise blood pressure is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled; Defer treatment until a senior hospital doctor reviews the patient is less appropriate because pre-hospital clinicians must treat immediate threats within scope. Use oral analgesia as the main treatment and Provide reassurance and reassess after transport are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.
Reference: British Burn Association Pre-hospital Burn Consensus; JRCALC Guidelines