Consider empirically treating for cyanide toxicity especially if fire was in an enclosed place
Cleanse<unk> with mild soap and water or dilute antiseptic solution
Debride wound as needed
Consider a topical antimicrobial:
Bacitracin, neomycin, or mupirocin
AVOID Silver Sulfadiazine as it may interfere with partial thickness healing and offers no healing advantage (inhibits keratinocytes) 
Consider use of synthetic occlusive dressings (see<unk> dressings)
Blisters
Leave blisters intact unless they cross a joint or if a large blisters precludes application of a dressing
Aspiration is preferred to deroofing
Tetanus vaccine (if 2nd degree or higher)
Bacitracin, neomycin, or mupirocin
AVOID Silver Sulfadiazine as it may interfere with partial thickness healing and offers no healing advantage (inhibits keratinocytes) 
Leave blisters intact unless they cross a joint or if a large blisters precludes application of a dressing
Aspiration is preferred to deroofing
IVF (see below)
Analgesia
Remove all rings, watches, jewelry, belts
Local<unk> care <unk> dressing)
Contact<unk> center BEFORE applying any antiseptic dressings
Small wound: moist saline-soaked dressing
Large wound: sterile drape
Antibiotics
Administer in coordination with<unk> physician
Prophylactic antibiotics have been abandoned - debridement is paramount to prevent infection
Maintain glucose control to prevent infection
Core temperature is usually "reset" to 38-39°C, so fever in the absence of other symptoms of sepsis does not indicate infection
If septic, start broad spectrum antimicrobials - be sure to assess for need for antifungals in addition to antibiotics
Nasogastric Tube
Consider if partial-thickness<unk> >20% BSA (ileus frequently occurs)
Definite NG tubes in<unk>  > 30% in adults and 25% in children
Early GI prophylaxis (PPI/H2 blocker)
evidence of stress ulceration even within hours after major<unk> 
Tetanus vaccine
Contact<unk> center BEFORE applying any antiseptic dressings
Small wound: moist saline-soaked dressing
Large wound: sterile drape
Administer in coordination with<unk> physician
Prophylactic antibiotics have been abandoned - debridement is paramount to prevent infection
Maintain glucose control to prevent infection
Core temperature is usually "reset" to 38-39°C, so fever in the absence of other symptoms of sepsis does not indicate infection
If septic, start broad spectrum antimicrobials - be sure to assess for need for antifungals in addition to antibiotics
Consider if partial-thickness<unk> >20% BSA (ileus frequently occurs)
Definite NG tubes in<unk>  > 30% in adults and 25% in children
evidence of stress ulceration even within hours after major<unk> 
The Parkland formula (4mL*kg × % TBSA of<unk> , not including superficial<unk>  and modified Brooke formula (2ml/kg/%TBSA) are the two most widely used resuscitation formulas.
There is general agreement that there is an increasing tendency to over-resuscitate during<unk> shock.
Resuscitation recommendations are only a guide; must titrate to patient's urine output, clear sensorium, and HR less than 110
Give least amount of fluid necessary to sustain organ perfusion (avoid "fluid creep")
Patients with inhalation injury and/or multi-system trauma may require more fluid.
Goal directed therapy with Swan-Ganz catheters, inotropes, and fluid support have shown no superiority to standard clinical parameters, and have increased over-resuscitation and incidence of abdominal compartment syndrome (see below)
There is general agreement that there is an increasing tendency to over-resuscitate during<unk> shock.
Resuscitation recommendations are only a guide; must titrate to patient's urine output, clear sensorium, and HR less than 110
Give least amount of fluid necessary to sustain organ perfusion (avoid "fluid creep")
Patients with inhalation injury and/or multi-system trauma may require more fluid.
Definite IV: Adults > 20%, Peds > 15%
Perhaps IV: Adults 15-20%, Peds 10-15%
Oral adequate: Adults < 15%, Peds < 10%
Many<unk> centers prefer lactated ringers unless shock liver or hepatic failure suspected
Colloids generally not used unless<unk>  > 40% TBSA
Do not use dextrose in adults (false UOP), but children should receive small amounts due to small glycogen stores
2-4mL x weight (kg) x %TBSA (2nd and 3rd degree only) = mL NS (or LR) over 24hr
Give 1/2 in first 8hr, remainder in next 16hr
Give Parkland + maintenance fluid (2-4cc/kg x %BSA) if age < 5 yrs old
Give 1/2 in first 8 hr, remainder in next 16 hr
Can consider giving D5 1/2 NS if patient < 20 kg to prevent hypoglycemia
If UOP is greater than expected, consider glycosuria and reactive hyperglycemia as cause.
Maintain urine output of 0.5-1 mL/kg/hr' urine in adults and 1-2 mL/kg/hr in children weighing < 30 kg
If myoglobinuria seen, double expected UOP until urine grossly clears (consider mannitol diuresis)
Full-thickness<unk>  of the face or perioral region
Circumferential neck<unk> 
Acute respiratory distress
Progressive hoarseness or air hunger
Respiratory depression
Altered mental status
Supraglottic edema and inflammation on bronchoscopy
Circumferential eschar with one of the following:
Circumferential torso - restricted ventilation
Circumferential extremities - vascular compromise
Immediate escharotomy if compartment pressure > 30 mmHg
Elevate limb and optimize fluid status
Circumferential torso - restricted ventilation
Circumferential extremities - vascular compromise
Burns
Smoke inhalation injury 
Sore throat
Chemical injury
Fever and rash
Acrolein
Dermatitis
Hydrochloric acid