Adult Burn Management Flashcards

1
Q

Adult Burn Management - Initial actions

A
Cool burn
Remove clothing and jewelry
BSA > 10% - dry dressing
BSA < 10% - cool moist dressing
Consider IRP
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2
Q

Adult Burn Management - Do not attempt to cool burn after how long has passed?

A

30 minutes

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3
Q

Adult Burn Management - Should dry chemicals be flushed with water?

A

No, unless they are in the eyes. Water can worsen the burn

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4
Q

Adult Burn Management - Removed wet dressings from burns > what % to prevent what?

A

BSA > 10% to prevent hypothermia

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5
Q

Adult Burn Management - 2nd or 3rd degree burns greater than 10% BSA Tx?

A

500 ml NS to maintain normotension. Max 3L

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6
Q

Adult Burn Management - Critical burn criteria? (6)

A

2nd or 3rd degree >20% BSA
Any full thickness burn >5% BSA
Any partial or full thickness burn to the face, neck, hands, perineum, involving a major joint or feet
Any burn with potential airway involvement
Any high voltage electrical burn
Non residential chemical Burns

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7
Q

Adult Burn Management - How long to irrigate eyes?

A

At least 15 minutes. 30 if substance is known to be an alkali

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8
Q

Adult Burn Management - Decision to intubate in an impending airway burn should be made on? (4)

A

Decreased LOC
Rapid onset of severe dyspnea unresponsive to treatment
Rapid progression of airway edema
Patient in extremis displaying signs of respiratory collapse

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