Burn Management in Remote and Austere Environments

Adventure, Expedition & Wilderness Medicine, Pre-hospital Care
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In this webinar, Steven Jeffery explores the practical management of burn injuries in remote, austere, and resource-limited environments. Drawing on extensive military and civilian burn care experience, the session focuses on early decision-making, simple interventions with the greatest impact, and how to adapt specialist burn principles when tertiary facilities are not immediately available.

The discussion covers burn cooling, wound assessment, analgesia considerations in the field, infection prevention, dressing selection, chemical burns, and patient prioritisation when resources are constrained. Steven also addresses common pitfalls in early burn care, ethical challenges in low-resource settings, and the importance of planning, prevention, and realistic ceilings of care.

This session is designed for clinicians, expedition medics, humanitarian responders, and healthcare professionals who may encounter burn injuries outside of specialist burn units and need practical, context-appropriate frameworks for safe early management and escalation decisions.

More Information

Length: 37m
Guests: Steven Jeffery
Host: Eoin Walker

Intended Learning Outcomes

By the end of this session, participants should be able to:

  • Understand the principles of early burn management in remote and austere environments

  • Recognise the importance of burn cooling, wound hygiene, and infection prevention in influencing outcomes

  • Assess burn size and severity to support appropriate triage and escalation decisions

  • Identify practical analgesia considerations and limitations in expedition or low-resource settings

  • Apply conservative burn management strategies when specialist resources are delayed or unavailable

  • Recognise when escalation to higher levels of care is essential and when interventions may cause harm

  • Reflect on ethical decision-making, patient prioritisation, and ceilings of care in resource-constrained contexts

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