In this episode of the PFC Podcast, Dennis speaks with Dr. Lee Cancio, a surgeon and director of the U.S. Army Institute of Surgical Research Burn Center. They discuss the complexities of managing white phosphorus burns, a serious concern in modern warfare. Dr. Cancio shares insights on the properties of white phosphorus, the mechanisms of injury, and the critical steps in initial care and management of such injuries. The conversation also covers the importance of fluid resuscitation, monitoring for complications like hypocalcemia, and the role of surgical interventions in treating burn patients. Dr. Cancio emphasizes the need for urgent care and the challenges faced in prolonged field care scenarios.


Takeaways
Dr. Cancio has extensive experience in treating burn injuries from combat.
White phosphorus burns can cause both thermal and chemical injuries.
Immediate immersion in water is crucial for managing phosphorus burns.
Hypocalcemia is a significant risk in patients with phosphorus injuries.
Surgical debridement is often necessary for effective treatment.
Fluid resuscitation is essential, especially for deeper burns.
Monitoring heart rate and EKG is critical for detecting complications.
Whole blood can be used in burn shock if no other options are available.
Ongoing assessment of wounds is necessary to prevent re-ignition.
The relationship between burn size and mortality can be atypical in phosphorus injuries.



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