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ABLS Wikipedia Page
Advanced Burn Life support (ABLS) is a training program for pre-hospital, medical, and nursing providers in the management of acute burn injury. It is a program developed and offered by the American Burn Association.

ABLS teaches providers knowledge for immediate care of the burn patient in the first 24 hours post-injury. The ABLS course addresses emergency preparedness, mass casualty incidents focusing on triage, burn survivability, prioritizing transport of patients and patient treatment. ABLS education helps first responders and health care providers learn how to assess severity of the burn injury, provide appropriate initial treatment, and determine need for transfer to a burn center. It is designed to provide the "how-to" of emergency care of the severely burned patient through the early critical time period.

Similar to ATLS, the care of the acutely injured burn patient follows a primary and secondary survey for assessment.

Topics Covered
Initial Assessment and Management: Evaluation of burn size and steps in stabilization.

Airway Management/Smoke inhalation: Indications for intubation, common care for inhalation injuries.

Shock and Fluid Resuscitation: Initiation of fluid resuscitation, calculation of initial and adjusted fluid rates, monitoring and titration of fluid resuscitation Wound Management: Cleansing and care of acute burn wounds, topical ointments commonly used.

Electrical Injury: Special considerations for electrical injury including muscle necrosis, rhabdomyolysis, compartment syndrome, and occult injuries.

Chemical Injury: Special considerations for chemical injuries including decontamination, evaluation of depth of injury, and wound coverage.

Pediatric Injury: Special considerations for children including differences in body surface area determination compared to adults, risks of abuse and how to identify, changes in fluid and care needs.

Stabilization, Transfer, and Transport: Criteria for involving a regional burn center, recommendations for transfer.

Burn Disaster Management and Preparedness: Information about risks of burn disaster and how to coordinate emergency burn care.

Components of the Course
Lectures

Small group discussions

Hands on moulage

Simulation scenarios

Written and Practical test

History
ABLS was created by a group of physicians, and one nurse, from the American Burn Association in 1986 under the auspices of then-President, Martin Robson, MD. The initial group included John Hunt MD, William McManus MD, Robert Gillespie MD and Pat Gillespie RN, Basil Pruitt Jr MD. The group met in Lincoln, Nebraska to develop the course. The course was inspired by Advanced Trauma Life Support (ATLS) in which Dr. Gillespie was very involved. This group recognized the success of ATLS and understood that burn care needed more standardization. The authors decided to focus on the first 48 hours of burn care, with a larger emphasis on the first 24 hours, due to the complexity of ongoing burn care and applicability to providers outside of burn surgeons and nursing staff. Once the course was developed for the US audience, the same group revised the course for the second edition. The course was then translated into Chinese as the first international ABLS course was subsequently held in China.

Administration and Oversight
As a standing committee within the ABA, the ABLS Advisory Committee is responsible for the content of the course. The committee regularly reviews the content and updates the course on a rolling basis. Each individual section is updated based on advances and developments in the field. The ABLS Advisory Committee also maintains a liaison with the Committee on Trauma (COT) of the American College of Surgeons (ACS) to provide burn input to the Advanced Trauma Life Support (ATLS) Course.

See Also •	Burn •	Advanced Trauma Life Support •	Advanced Cardiac Life Support •	Basic Life Suppor t •	Pediatric Advanced Life Support