saem 45-year-old cook spills a vat of boiling peanut oil onto his right forearm. the entire circumference of his forearm is erythematous with patches of blanched white. there are numerous blisters, some of which are ruptured. the hand is mostly spared from thermal burn, but it is pale with decreased capillary refill. radial, ulnar, and digital pulses are undetectable with doppler ultrasound. what is the appropriate initial management for this patient?
