Burn in a 6 month year old baby boy

– Baby was burn when bed caught on fire
– Two days in ICU with pain, silverdine topical cream, IV fluids, O2 and Abx coverage
– Possible amputation of arm
– Prognosis very poor
– Hope
– Baby dies from sepsis
– The most important is the % of Burns over body. Babies have higher complications
– Rule of 9
– Problem is sepsis
– Treatment important in first 24 to 48 Hours