For a 7-year-old with a seizure and significant burns, what interventions are the priority?

In the scenario of a 7-year-old experiencing a seizure alongside significant burns, the appropriate priority interventions focus on both the immediate stabilization of the patient and addressing the causes of the seizure.

Administering a fluid bolus is crucial in cases of significant burns, as it helps to maintain adequate circulation and prevent shock due to fluid loss through damaged skin. Patients with burns are at high risk for hypovolemia, which can exacerbate their condition and lead to further complications.

Additionally, conducting a point of care glucose test is important because hypoglycemia could be a contributing factor to the seizure. Identifying and correcting low blood sugar can sometimes resolve seizure activity or prevent further complications.

Collecting a metabolic panel provides information on the patient’s electrolyte and metabolic status, which is essential in the management of both seizures and burn injuries. Electrolyte imbalances can precipitate or exacerbate seizure activity, so this data is critical for guiding further treatment.

Overall, the priority is to ensure that the child is hemodynamically stable and free from potential metabolic causes of the seizure while considering their burn injuries, making the combination of interventions from this answer the most comprehensive for addressing the child's immediate medical needs.