Which action is included in the initial field management for burns?

• A. Remove source, cool with clean water, cover with sterile dressing; avoid ointments or ice; assess extent
• B. Apply ointments and ice
• C. Scrub with soap and water and bandage loosely
• D. Remove source, cool with clean water, cover with sterile dressing; avoid ointments or ice; assess extent

Answer: (D)

In burns, the first actions focus on stopping ongoing injury and protecting the wound while you plan next steps. Start by removing the heat source so the tissue isn’t exposed to more damage. Then cool the burn with clean running water to lower tissue temperature, reduce pain, and limit depth of injury. Avoid using ice, which can cause additional tissue damage. After cooling, cover the area with a sterile dressing to protect it from contamination and keep it clean. Do not apply ointments in the field because they can contaminate the wound and complicate later treatment. Finally, assess the extent of the burn to judge severity and whether further medical care is needed. This sequence—remove the source, cool with clean water, cover with a sterile dressing, avoid ointments or ice, and assess extent—aligns with safe, effective initial field management for burns. Choices that include applying ointments or ice, or scrubbing the wound, do not meet these safety priorities and thus aren’t appropriate for initial care.