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Child with compensated shock after burns — DipIMC MCQ

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HardPaediatric and Obstetric EmergenciesChild with compensated shock after burnsDipIMC

A 4-year-old pulls a kettle over the chest and arm. Burns cover about 12% body surface area, capillary refill is 3 seconds, pulse 150/min and the child is crying; the regional paediatric burns service is 40 minutes away. What is the most appropriate transport decision?

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Correct answer: BCool appropriately, give analgesia, dress and transfer with paediatric burns advice

Significant paediatric scalds need cooling within safe limits, analgesia, clean covering and early burns network advice. Ice risks hypothermia and tissue damage, especially in children. Deroofing and definitive dressing decisions are not pre-hospital priorities.

Reference: JRCALC burns guidance; British Burn Association referral principles