You have arrived on the scene of a large structure fire. Emergency Medical Responders (EMRs) are by the side of a patient who is responsive to verbal stimuli and has significant burns to his body. They report that the patient fell down a flight of stairs while trying to escape and was trapped for several minutes. Their assessment findings include partial- and full-thickness burns to his right arm, right leg, and right side of the face. The EMRs also report that the patient's unburned skin is cool, clammy, and pale, with a delayed capillary refill. His pulse is 144 beats/min, respirations are 22 breaths/min, and blood pressure is 88/50 mmHg. Which instructions would be most appropriate?
A) "The patient is in burn shock; let's cool him by pouring cold water on him now and during transport."
B) "After reassessing the ABCs, let's do a secondary assessment and look for signs of injuries that are causing shock."
C) "The patient is in burn shock; let's soak a sterile burn sheet in water and wrap it around him."
D) "Before cooling the patient with water, let's figure out the percentage of his body that is burned, along with the type of burn."
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