Burn Standard

Question 1

What is the first thing we should be doing when a pt is in a thermal burn?

Answer 1

make sure that fire personnel is called and ensure that the pt is moved as quick as possible to a FRESH air zone!!!!

Question 2

What are the life limb function threats listed?

Answer 2

airway burns
asphyxia
CO/cyanide poisoning
shock

Question 3

What are other important things to note when assessing a burn?

Answer 3

• source of burn
• wether it occurred in an enclosed space
• if the pt was unconcious or lost LOC during the exposure to the fire/fumes/smoke

Question 4

If the clothing is stuck to the skin, what should we do??

Answer 4

remove clothing and cut around the skin that is stuck to clothes

Question 5

What is included in the the secondary survey?

Answer 5

severity: area burned, burn depth (degree), and % of body surface area burned

distal neurovascular status

signs for smoke inhalation and upper airway injuries

if burns involve the eye, assess as per the visual disturbance standard

Question 6

For 2nd degree burns <15 %, what do we do?

Answer 6

dress with moist sterile dressing and dry sheet or blanket, dress each digit individually

Question 7

For 2nd degree burns >=15%, what do we do?

Answer 7

dress with DRY sterile dressing, dress each digit individually

Question 8

For 1st degree burns, what do we do?

Answer 8

dress with moist sterile dressings and then cover with dry sheet or blanket

Question 9

Limit cooling to how long to prevent WHAT condition?

Answer 9

<30 mins

to prevent hypothermia!!!!!

Question 10

If shivering starts or hypotension, what should we do?

Answer 10

discontinue the cooling efforts

Question 11

What are potential expected problems of burns? (thermal)

Answer 11

airway obstruction

if airway burns,
- bronchospasm
- orolingual/laryngeal spasm

respiratory distress/arrest and

agitation or combativeness