Burns

Burns are tissue damage that results from heat, overexposure to the sun or other radiation, or chemical or electrical contact. Burn symptoms vary depending on how deep the skin damage is.

• 1st-degree burns affect only the outer layer of the skin (epidermis). It may cause redness and pain.

• 2nd-degree burns affect both the epidermis and the second layer of skin (dermis), potentially causing swelling and red, white or splotchy skin. Blisters may develop, and pain can be severe. Deep second-degree burns can cause scarring.

• 3rd-degree burns reach to the fat layer beneath the skin. Burned areas may be black, brown or white, and the skin may look leathery. Third-degree burns can destroy nerves, causing numbness.

1. (If you have not done so already) Access the EHR module in the ESO Suite.

   1. Do one of the following.

      • (If you are already working in the ESO Suite) Click the Home icon in the upper left corner of the screen.

        

      • (If you have not yet logged in) Log in to the ESO Suite.

        1. In a web browser, go to https://www.esosuite.net/EsoSuite.

           The ESO Suite login screen appears.

        2. Enter your user name, password, and agency name, then click Let's Go.

           If MFA multi-factor authentication is enabled, the Multi-factor authentication dialog box appears, displaying one or more methods you can use to verify your login credentials. The number of methods that appear in the dialog box depends on what MFA methods your ESO Suite administrators enabled in the Admin module.

           Click graphics to open them.

           Information on enabling MFA and specific MFA methods is available in the Admin module online help, in Configure multiple-factor authentication.

           Note: If your ESO Suite administrators have disabled MFA ("opted-out"), this dialog does not appear.

        3. (If the Multi-factor authentication dialog box appears) Depending on which buttons appear in the dialog box, verify your login in one of the following ways.

           With an authenticator application.

           1. Click MFA verification via authenticator app.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the authenticator application installed on your device.

              

           2. Open your authenticator application and note the authentication code currently displayed.

           3. Enter the authentication code displayed in the authenticator application.

           4. Click Log In.

           With a text message (SMS short message service).

           1. Click MFA verification via SMS.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to the phone number recorded in your PM records and identified with MFA codes.

              

           2. Enter the authentication code sent to your MFA-registered phone number.

           3. Click Log In.

           With an email message.

           1. Click MFA verification via email.

              The dialog box updates with boxes for entering the numbers of the authentication code, and the ESO Suite sends an authentication code to your agency or department email address, recorded in your PM records.

              

           2. Enter the authentication code sent to your agency or department email address.

           3. Click Log In.

      The ESO Suite landing screen appears.

      Click graphics to open them.

      Note: If MFA multi-factor authentication is enabled, you can access and manage your MFA options through the PM module, on the Settings > Account page, as described in Manage a user account. If your agency or department has enabled MFA but has not purchased the full-featured version of the PM module, you can access your own MFA settings by clicking Change my Multi-Factor Authentication settings on the landing screen, then using the Settings > Account page that appears. If your agency has not enabled MFA, the Change my Multi-Factor Authentication settings link does not appear on the landing screen.

   2. On the top side of the home screen, click EHR.

      Tip: If your screen or browser window is too narrow to display all your agency's ESO Suite module icons, an options icon appears on the right side of the icon bar. If you click the options icon, a menu appears containing additional module icons.

      The EHR screen appears, displaying a list of patient records in the EHR module. The most-recent records appear at the top of the list.

      

      Different record status icons can appear in the list.

      Icon	Status
      	Unlocked/Draft The patient record exists in the ESO Suite database, and all crew members listed in the patient record may edit all fields in the record. ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager can edit non-clinical fields.
      	Mobile The patient record exists on the mobile device, and has not been synchronized with the ESO Suite database. ESO Suite administrators, personnel with security roles of either EHR Supervisor or EHR Manager, and all crew members listed in the patient record can only access a print view of the record. Once the Mobile record synchronizes with the ESO Suite database. the record reflects its current status.
      	Locked The patient record exists in the ESO Suite database, and is locked. Only non-clinical fields can be edited by crew members listed in the patient record, ESO Suite administrators and personnel with security roles of either EHR Supervisor or EHR Manager.

2. (If you have not done so already) Add a new patient record, or search for the existing patient record you want to work with.

   Information on adding or opening a patient record is available in Add a patient record and Search for a patient record.

   The patient record opens and displays the Incident tab, with the Response bookmark selected in the left pane. Fields appear in the right pane for specifying basic information about the incident

   

   If you manually created a new patient record, the Incident Number and State Tracking Number fields populate automatically with ESO Suite-assigned values. You must enter data in all other required fields.

   If you imported data from a CAD Computer Aided Dispatch system, the Incident Number field populates with the data from that source. Other fields in the EHR module may also populate from these sources, depending on what data was recorded in them before the data was imported into the EHR module.

3. At the top of the page, click the Forms tab.

   The contents of the Forms tab appear, listing all the forms your ESO Suite administrator has enabled in the Admin module.

   

4. Click Burns.

   The Burns dialog box appears, displaying a list of the different burn types in the left pane, and the image of a man's body in the right pane.

   

5. (If necessary) In the lower right corner of the dialog box, from Change Model, choose a different gender or age for the anatomical model for the patient.

   

   The anatomical model updates according to your selection,

           

6. Place burn markers on the anatomical model.

   1. In the upper right corner of the dialog box, choose the position icon that lets you orient the model body to let you most-easily-select the areas of injury.

      

      The model rotates as necessary to correspond to the position icon you chose.

      

      Note: You can do a more granular change of orientation by clicking in the blank area around the body and dragging the mouse pointer from side to side. The body rotates around the vertical axis as you move the mouse pointer. However, when you release the mouse pointer, the body automatically re-orients to the closest of the default orientations.

   2. In the left pane, click the type of burn you want to record.

      Example: 2nd Degree

   3. Hover your mouse over the specific part of the body you want to mark as burned, until a red highlight with a dashed line appears around the body part.

      

   4. Click the highlighted body part.

      The line around the highlighted body part becomes a solid white line, and the body part remains red to indicate that you have identified it as the burned body part. The intensity of the red color corresponds to the degree of burn you selected in the left pane.

      

   5. Repeat the steps above to choose different model orientations and add additional burn markers as needed.

      In the lower left corner of the dialog box, the Total BSA box updates the total body surface area that is burned on the patient. This value accounts for the total of 2nd and 3rd degree burns.

      

   6. (If necessary) Delete a burn from the anatomical model.

      1. In the upper right corner of the right pane, choose the position icon that lets you orient of the model to most-easily-select the burn you want to delete.

         

      2. Click the marker for the burn you want to delete, the choose Delete from the menu that appears.

         

         The burn marker disappears from the model.

7. Click OK.

   The dialog box closes, and a green triangle appears in the upper right corner of the form button, to indicate that data exists in this form.