Would this patient survive? Highly, HIGHLY unlikely
I just read the link, obviously this guy wasn't too smart, you do not jump into a boiling hot spring for ANY reason, even if that would have a family member. Remember the old saying: someone drowning and you jump in after them, chance are you will both drown.
What to do with a patient like this?
Remember, burns do not just cause skin damage but when the surface area of burned tissue is that great, systemic affects manifest due to release of pro-inflammatory mediators into the systemic circulation. This will further cause vasodilation and increase capillary permeability exacerbating the sever hypovolemia the patient already has. In addition the cytokines such as TNF can also cause depressed myocardial contractility and pro-coagulant effect resulting in disseminated intravascular coagulation (DIC), which can actually the patient to bleed to death internally. Also toxins from necrotic skin tissue can seep into the blood stream and cause acute renal failure and other complication, which although can be treated with further decrease the survival rate. It is because of this reason, together with th massive hypovolemic shock and the very, VERY high rate of sever infection (remember the skin is a very important part of your immune system) that when 3d degree burns cover more then 75% of your body, mortality rapidly approaches 100%
ABC, airway-breathing circulation
The patient should be intubated and two large bore central venous lines and a peripheral IV line secured for rapid and aggressive volume resuscitation.
The patient should be admitted immediately to the burn unit ICU and regular checked for signs of infection, antibiotic use is NOT warranted prophylactically unless there are actual sign of infection, however should be started with the slightest hint of an infection to prevent a lethal septic shock
If the patient should code, proceed with ALS protocols!!!!
Yes the prognosis is extremely poor, but there have been people who have fallen into yellowstone hot springs, had 3d degree burns over 90+ and survived, although this is the exceptions
Someone suggested to give pain medication, why?? 3d degree burns are NOT painful as the entire thickness of the skin with the senosry receptors are destroyed, morphine and other analgetic agents can actually decrease respiration, not a good idea!!
Treat as aggressively as possible!!!!!!!!!!!!!!!
But...more then likely, unless there is some miracle, the patient in that condition ill succumb sooner or later, unfortunately
I'm a medical doctor