Burns scare community clinicians. Distance, weather and a graphic injury make the first hours hard. On Ep 1 of the Critical Care Commute, burns intensivist Dr. Dennis Djogovic walked us through a mock call from Elbow, Saskatchewan. 10 lessons 🧵👇
Call early, cut rarely. Refer ≥10% TBSA, face, perineum, joints, all children and major comorbidities. Escharotomy before transfer only for lost pulses or inability to ventilate.
EPILOGUE: Pick the specialty you miss when you're away from it, not the one you love while you're in it.
But build a life around the people who will miss you.
At work, someone can always do your job. At home, nobody can.