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Chemical Splash/Burn

Date Last Search Run: Feb 01, 2022
Table last updated: Dec 12, 2017

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)    
2 (fair evidence exists)      
3 (weak evidence exists)    


Interventions

Dry Dressing
Level Direction Primary Outcome Patient/Process Setting Reference

Irrigation Skin
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Interventions required Process In-Patient Cartotto RC., Peters WJ., Neligan PC., et al. Chemical burns. CJS 1996; 39:205-11. Medline
III Supportive (Green) Skin toxicity Patient ED-MD Shibata K., Yoshita Y., Matsumoto H. Extensive chemical burns from toluene. Am J Emerg Med 1994; 12:353-355. Medline

Narcotic
Level Direction Primary Outcome Patient/Process Setting Reference
I Supportive (Green) Analgesia Patient PH-Paramedic Bounes V., Charpentier S., Houze-Cerfon CH., Bellard C., Ducassé JL. Is there an ideal morphine dose for prehospital treatment of severe acute pain? A randomized, double-blind comparison of 2 doses. Am J Emerg Med 2008; 26(2):148-54. Medline
I Supportive (Green) Pain relief using the visual analog scale score Patient PH-Paramedic Galinski M., et al. A randomized double-blind study comparing morphine with fentanyl in prehospital analgesia. Am J Emerg Med 2005; 23:114-9. Medline
II Supportive (Green) Analgesia Patient PH-Paramedic McKinnon KDL. Prehospital analgesia with nitrous oxide/oxygen. CMA Journal 1981; 125:836-40. Medline
II Supportive (Green) Analgesia Patient PH-Paramedic Ricard-Hibon A., Chollet C., Saada S., et al. A quality control program for acute pain management in out-of-hospital critical care medicine. Ann Emerg Med 1999; 34:783. Medline
II Supportive (Green) Analgesia Patient PH-Paramedic Ricard-Hibon A., et al. Compliance with a morphine protocol and effect on pain relief in out-of-hospital patients. J Emerg Med 2008; 34:305-10. Medline
III Supportive (Green) Patient satisfaction Patient PH-Paramedic Johnson JC., Atherton Gl. Effectiveness of Nitrous Oxide in a rural EMS System. The Journal of Emergency Medicine 1991; 9:45-53. Medline
III Supportive (Green) Analgesia Patient PH-Paramedic Peterson TD., Kerns DE. Prehospital Pain Control: Nitrous Oxide Inhalation. Iowa Medicine 1989; 15-7. Medline


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