9. Thermal Injuries

Question 1

What formula is used to guide fluid resuscitation in burns patients?

Answer 1

2ml per kg per TBSA

Half the total fluid is givin in first 8 hours.
The remaining half is given in the following 16 hours.

Question 2

How do you make adjustments to the basic formula for fluid resuscitation in burns patients?

Answer 2

Titrate to renal output.

0.5ml per kg per hour for adults
1ml per kg per hour for children less than 30kg.

Question 3

What formula is used to guide fluid resuscitation in PAEDIATRIC burns patients?

Answer 3

3mL per kg per TBSA

Question 4

Categorising burns by thickness:

Answer 4

Superficial

Superficial partial thickness
Deep partial thickness

Full thickness

Question 5

Features of superficial partial thickness:

Answer 5

Moist, painfully hypersensivive, blistered, homogenously pink, blanching.

Question 6

Features of deep partial thickenss

Answer 6

Dry, less painful, blistered, red or mottled in appearance, do not blanch to touch.

Question 7

Features of full thickness burns

Answer 7

Leathery.

Skin appears translucent or waxy white.