Course Description

Background:  The Kessler Burn Care Course was developed and presented by faculty and staff from the University of Rochester Medical Center, Kessler Burn Center.  The content was recorded in 2018-2019.

Online Content: The course is comprised of 10 self-paced video modules.  At the conclusion of each module, learners must complete a knowledge check/quiz.  Once all modules are completed, learners will be presented with an adult and pediatric case scenario to further test understanding of content.  This online course can be completed in approximately 2 hours.  If learners exit the training before completing all modules, the system will save his/her place and resume where he/she left off.  In order to maximize the quaility of the videos, it is recommended that learners clear browser cache before launching the course.

Purpose of Training: The goal of this course is to build on the concepts and clinical guidelines taught in Advanced Burn Life Support (ABLS) and to present healthcare providers with URMC Kessler Burn Center’s recommendations and guidelines on caring for an adult and pediatric burn patient before transfer to an appropriate level of care can be arranged. 

Module Length and Objectives:

Module 1: Overview of Burns and Wounds (12 min)
Instructor: Holly Moynihan, RN, MS
     -Describe the major functions of the skin
     -Understand the different skin layers and structures they contain
     -Identify severity of burns and potential treatment
     -Explain why proper burn wound care is so important
     -Describe how to perform proper wound care

Module 2: Special Burns and Burn Wound Care (22 Min)
Instructor: Derek E. Bell, MD
     -Describe scald and flame burns and how to evaluate for severity of the burn
     -Identify contact burns
     -Describe how to treat special burns such as tar, chemical and electrical
     -Describe myoglobin-urea and why it needs to be treated promptly
     -Describe how to maintain provider safety with chemical burns
     -Explain the physiology of frostbite and how it is treated
     -Describe different types of products that may be utilized on burns

Module 3:  Prioritization and Treatment (12 Min)
Instructor: Holly Moynihan, RN, MS
     -Describe the Primary and Secondary Burn Assessments
     -Describe How Pediatric and Adult Burn Patients Differ
     -Identify Specific Considerations and Treatments for Electrical and Chemical Burns

Module 4: Airway (6 Min)
Instructor: Yanjie Qi, MD
     -Discuss Pathophysiology of Inhalation Injury
     -List 3 Types of Inhalation Injury
     -Describe the Indications For Early Airway Intervention
     -Discuss Principles of Initial Management

Module 5:  Fluid Resuscitation (16 Min)
Instructor: Dave Smith, RN
     -Describe what happens during burn shock, ebb and flow phases
     -Identify who requires fluid resuscitation
     -Describe what initial fluid resuscitation is and how it changes with the  calculation of the TBSA
     -Determine the TBSA utilizing the Rule of Nines
     -Calculate the fluid resuscitation for an adult and pediatric thermal burn
     -Describe differences in the adult vs. the pediatric burn patient

Module 6:  Stabilization and Transfer (5 Min)
Instructor: Holly Moynihan, RN, MS
     -Understand Pre-transfer Stabilization
     -Understand Transfer Criteria
     -Understand the Transfer Procedure

Module 7:  Physical Therapy (6 Min)
Instructor: Danielle Kassan, PT
     -Describe the role of the physical therapist in burn patients
     -Identify types of range of motion
     -Describe how to perform a stretch and why it is so important early in the care of the burn patient
     -Describe how early mobility affects the burn patient

Module 8: Occupational Therapy (7 Min)
Instructor: Mary Beth Kushner, OT
     -Describe how Occupational Therapy differs from Physical Therapy for burn patients
     -Explain the ideal positioning of the burn patient
     -Explain strategies utilized to obtain proper positioning of specialized burned areas

Module 9: Nutrition (12 Min)
Instructor: Christine Samorski, RD
     -Explain how proper nutrition early after a burn can impact burn wounds
     -Explain why burn patients’ calorie needs are elevated
     -Describe what nutrients are most important for wound healing

Module 10: Transfer Guidelines (6 Min)
Instructor: Derek E. Bell, MD
     -Identify the criteria for transfer according to the American Burn Association
     -Explain why burn patients are best treated at a burn center

Target Healthcare Audience:  Hospital-based healthcare providers

Disclaimer:  The information presented is intellectual property of the University of Rochester Kessler Burn Center. This course and its content is copyright of the University of Rochester Kessler Burn Center.  Any references to products are provided as examples.  URMC Kessler does not endorse any specific brand or vendor.

The taping and online packaging of this course was partially funded through a grant from the Department of Health and Human Services (DHHS) under the New York State Department of Health Office of Health Emergency Preparedness awarded to the University of Rochester Medical Center - Finger Lakes Regional Training Center

Prior training in Advanced Burn Life Support (ABLS) is recommended but not required.