Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery Lectures > Burn Management > Flashcards

Burn Management Flashcards

1
Q

Definition of burn

A

Thermal injury which caused a break in the line of the epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List 4 functions of skin

A

Microbial barrier
Fluid and temperature homeostasis
Sensation
Physical/UV protection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Main causes of burns

A

Flame (55%)
Scald (40%)
Chemical/electrical (5%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is AMPLE? (history taking)

A 
Allergies
Medications
PMH
Last food/fluid
Events leading up to/mechanism of injury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What 3 factors looked at in GCS?

A
  • Eye opening
  • Best verbal respones
  • Best motor response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Severity of head injury according to GCS?

A

Minor 13-15
Moderate 9-12
Severe <9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

4 important factors to know regarding the burn?

A
  1. Duration of exposure
  2. Type of clothing worn
  3. Temp and nature of fluid
  4. Adequacy of first aid measures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

4 examples of when to refer to burns unit?

A
  1. Any full thickness burn
  2. Children >10%, adult >15%
  3. Inhalational injury
  4. Chemical/electrical burns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

3 classes of burns?

A

Superficial
Partial thickness (superficial and deep)
Full thickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Superficial burn

A

Not technically a burn; no loss of epidermis
Erythema present
Painful
E.g. sunburn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Partial thickness burn

A

Superficial- no loss of dermis, painful, presence of blisters.

Deep- loss of dermis but adnexae remain. Very painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Full thickness burn

A

Complete loss of dermis. Appears charred, white, waxy, leathery.
No pain/sensation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What to assess regarding the burn?

A

Depth

TBSA% affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the rule of nines?

A 
Face 9%
Each arm 9% 
Front 18%
Back 18%
Each leg 18%
Patient's closed palm = 1%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Classes of inhalational injury

A

Supraglottic (due to extreme heat)

Subglottic (due to combustion products)

Systemic (CO or cyanide poisoning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

5 example signs of inhalational injury?

A
  1. Soot & burns in mouth/nose
  2. Increased RR + use of accessory muscles.
  3. Confusion, irritability & disorientation.
  4. Hoarse voice
  5. Stridor/wheeze
17
Q

What % CO poisoning will cause death?

A

60%

18
Q

Signs of CO poisoning?

A

Confusion
N&V
Headache
Cherry red appearance

19
Q

What formula used for fluid resuscitation?

A

Modified Parkland formula:
4ml x kg x TBSA%

Give first half within 8 hrs

20
Q

What formula for calorific requirements?

A

Curreri

21
Q

What to do with chemical & electrical burns?

A

IMMEDIATE IRRIGATION

22
Q

Prognosis of burns depends on 3 factors:

A

Age
% BSA
+/- inhalational injury

23
Q

Treating partial thickness burns involves…?

A

Analgesia

Dress (biologic or synthetic) + cream (flamazine)

24
Q

Treating full thickness burns involves?

A

Excisional debridement

Split-thickness skin graft

25
Q

When is escharotomy indicated?

A

Circumferential burns; reduces risk of compartment syndrome

Surgery Lectures (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions