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History

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The fundamental history in the patient with major burns should be AMPLE:

  • A - allergies
  • M - medications
  • P - past illnesses
  • L - last meal
  • E - events or environment associated with injury

Obtain as complete a picture as can be done quickly regarding:

  • place of injury - enclosed with or without adequate ventilation, battlefield; gives clue to likely associated injuries
  • time elapsed from injury
  • burn:
    • type of burning agent
    • duration of exposure to burning agent
    • type of clothing worn
    • likely temperature of burning agent e.g. bitumen, recently-boiled water
    • first aid to burn at site i.e. what was put on burn and for how long
  • other injuries:
    • penetrating: velocity of projectile; direction of travel in relation to patient; distance from patient
    • blunt: speed of impact; region impacted; for car crashes whether seat-belt worn, ejection from car and likely speed of crash
    • explosions: type of explosion; distance from explosion
  • previous history:
    • overall health
    • possibility of non-accidental injury in a child

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