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Technicians Handbook - Historic Naval Ships Association

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Burn victims require large amounts of water, which should be slightly salted. Because of the natureof the injury, most burns are sterile. The best treatment for uninfected burns, therefore, is merely toprotect the area by covering it with the cleanest (preferably sterile) dressing available. Never applyointments to a burn nor use petrolatum gauze.Do not attempt to break blisters or to remove shreds of tissue or adhered particles of charredclothing. Never apply a greasy substance (butter, lard, or petroleum jelly), antiseptic preparations, orointments. These may cause further complications and interfere with later treatment by medicalpersonnel.HeatstrokeSunstroke is more accurately called heatstroke since a person does not have to be exposed to the sunfor this condition to develop. It is a less common but far more serious condition than heat exhaustion,since it carries a 20 percent fatality rate. The main feature of heatstroke is the extremely high bodytemperature, 105º F (41º C) or higher, that accompanies it. In heatstroke, the victim has a breakdown ofthe sweating mechanism and is unable to eliminate excessive body heat built up while exercising. If thebody temperature rises too high, the brain, kidneys, and liver may be permanently damaged.Sometimes the victim may have preliminary symptoms, such as headache, nausea, dizziness, orweakness. Breathing will be deep and rapid at first, later shallow and almost absent. Usually the victimwill be flushed, very dry, and very hot. The pupils will be constricted (pinpoint) and the pulse fast andstrong. Figure 1-10 compares these symptoms with those of heat exhaustion.Figure 1-10.—Symptoms of heatstroke and heat exhaustion.When you provide first aid for heatstroke, remember that this is a true life-and-death emergency. Thelonger the victim remains overheated, the higher the chances of irreversible body damage or even deathoccurring. First aid treatment for heatstroke is designed to reduce body heat.Reduce body heat immediately by dousing the body with cold water, or applying wet, cold towels tothe whole body. Move the victim to the coolest possible place and remove as much clothing as possible.Maintain an open airway. Place the victim on his/her back, with the head and shoulders slightly raised. Ifcold packs are available, place them under the arms, around the neck, at the ankles, and in the groin.Expose the victim to a fan or air-conditioner since drafts will promote cooling. Immersing the victim in acold water bath is also effective. Give the victim (if conscious) cool water to drink. Do not give any hot1-17

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