(16) Burns

Question 1

burn sheet

Answer 1

a commercially available prepackaged dressing for large burns

Question 2

eschar

Answer 2

dry dead tissue

Question 3

rule of 9%

Answer 3

1. head and neck are 9%
2. chest 9%
3. abd 9%
4. upper back 9%
5. lower back 9%
6. groin 1%
7. each leg is 18%
8. each arm is 9%

Question 4

rule of 1%

Answer 4

the palm of the patient’s hand represents 1% BSA

Question 5

When triaging multiple burn​ patients, the EMT would recognize which patient as having the most critical​ burn?

A. A​ 22-year-old patient with a​ partial-thickness burn to the right hand
B. A​ 41-year-old patient with a​ partial-thickness burn to the upper left arm
C. A​ 12-year-old patient with a superficial burn to the neck and chest
D. A​ 58-year-old patient with a scald burn to the anterior chest

Answer 5

A. A​ 22-year-old patient with a​ partial-thickness burn to the right hand

Question 6

Which assessment finding would best indicate that a patient has suffered a​ full-thickness burn to his​ leg?

A. Charred skin with intense pain
B. Red skin that is painful
C. Moist skin with blisters
D. Dry skin with little pain

Answer 6

D. Dry skin with little pain

Question 7

A partial thickness burn covering 8 percent of the body would be considered moderate for which​ patient?

A. A​ 25-year-old patient with sickle cell disease
B. A​ 20-year-old patient with an accompanying​ high-voltage burn
C. A​ 30-year-old patient with burns to the genitalia
D. A​ 40-year-old patient with accompanying superficial burns over 20 percent of the body

Answer 7

A. a 25 year old patient with sickle cell disease

Question 8

An intoxicated​ 28-year-old female has suffered burns to both legs after passing out next to a space​ heater, which ignited her pants. Emergency Medical Responders have removed her clothing and cooled the burns. Which action is most appropriate in the continued care of this​ patient?

A. Carefully wrap the burn with a sterile wet burn sheet
B. Clean the burn with sterile saline and cover it with gauze
C. Cover the burns with a​ clean, white, dry sheet
D. Place ice packs to the burn to continue cooling

Answer 8

C. cover the burns with a clean, white, dry sheet

Question 9

What is an advantage of the Lund and Browder system of BSA​ estimation?

A. It is more easily memorized than the rule of nines
B. It is calibrated so that the EMT can use his own hand to estimate a​ small-area percentage
C. It is integrated in the Broselow pediatric tape system
D. It uses an​ age-related chart for more accurate determination

Answer 9

C. it is integrated in the broselow pediatric tape system

Question 10

What is the most common cause of death in burn patients?

Answer 10

airway

Question 11

treat a burn in the field

Answer 11

1. remove any clothing or jewelry
2. brush off any dry chemicals
3. rinse for 20 minutes
4. dsd
5. transport

Question 12

critical burns

Answer 12

1. full thickness to hands, feet, face, genitalia
2. burns with resp injury
3. partial thickness > 25% BSA
4. circumfrential burn