#7: Burn

Question 1

Prognosis of full thickness burn+ dependent upon these 2 factors:

Answer 1

BSA location

pt comorbidities

Question 2

Major burn criteria: (10)

Answer 2

1- Full thickness >10% BSA
2- Pt <10 or >50 yo, Partial thickness >20% BSA
3- Pt 10-50 yo, Partial thickness >25% BSA
4- + major joints crossing
5- + hands, face, feet, or perineum involvement
6- + circumferential on extremity
7- + fracture or other trauma
8- + electrical injury
9- + inhalation injury
10- High risk pt

Question 3

Burn unit referral criteria: (9)

Answer 3

1- Age <10 y/o and >50 y/o
2-chemical burn
3-electrical burn
4-inhalation burn
5-third degree burn
6-concomitant trauma (such as fx) in who the burn injury poses the greatest risk to MM
7-children in hospitals w/o qualified personnel or equipment to care for children

8-pts who will require special social, emotional, or long-term rehabilitative intervention
9-pts with preexisting medical dz that could complicate tx, prolong recovery, or affect mortality

Question 4

Moderate burn criteria: (2)

Answer 4

1-Full thickness burns ≤10% BSA
2-Pt 10-50 yo, Partial thickness 15%–25% BSA
– r/o major burn characteristics present

Question 5

Mild burn criteria: (3)

Answer 5

1- Full thickness < 2%
2- Pt 10-50 yo, Partial thickness <15% BSA
3- Pt <10 or >50 yo, Partial thickness <10% BSA
–No major burn characteristics present

Question 6

TX for hydrogen cyanide posioning: (2)

Answer 6

1- hydroxycobalamin

2- amyl nitrate, sodium thiosulfate

Question 7

Criteria for burn victim intubation: MF PAIN

Answer 7

Mental status changes
Face or perioral full thickness burn
Progressive hoarseness or sxs of respiratory distress (depression, etc)
ARDS
Inflammation and edema of supraglottic on bronch
Neck circumferential burns

Question 8

An NG tube placement should be considered in all pts with this type of burn:

Answer 8

> 20% BSA of partial thickness burn 2/2 ileus risk