burn wound management in prolonged field care

Question 1

A provider of Prolonged field care must first and foremost be an expert in _______

Answer 1

TCCC.

Question 2

Burns covering _______ of the total body surface area (TBSA), or those with smoke inhalation injury (and airway or breathing problems), are life threatening.

Answer 2

> 20%

Question 3

T/F Hypothermia risk is high in burn patients. Anticipate that all burn casualties will become hypothermic and take immediate measures to prevent it by covering patient. Aggressively rewarm if temperature falls below 36°C (96.8°F).

Answer 3

true

Question 4

All patients with burns covering ____ TBSA should be intubated because total-body swelling will tend to obstruct the airway. Patients with facial burns around the mouth may require intubation

Answer 4

> 40%

Question 5

what is the minimum recommendation regarding airway management when providing PFC for a burn patient?

Answer 5

Cricothyroidotomy, ketamine, ambu bag with positive end-expiratory pressure (PEEP) valve.

Question 6

Monitoring ___________ is an important capability for all intubated patients. A rising_____________ could indicate clogging of endotracheal tube or poor ventilation from another cause (e.g., bronchospasm, tight eschar across chest).

Answer 6

end-tidal CO2, end-tidal CO2

Question 7

T/F For large wounds, calculate the size of the wound by using the patient’s hand size (including fingers) to represent a 1% TBSA

Answer 7

false

Question 8

sunburns are examples of ______degree burns

Answer 8

first

Question 9

Over the first 24–48 hours post burn,_________ is lost into the burned and unburned tissues, causing hypovolemic shock (when burn size is >20%)

Answer 9

plasma

Question 10

T/F Plain water is ineffective for shock resuscitation and can cause hyponatremia.

Answer 10

true

Question 11

_______ is the main indicator of resuscitation adequacy in burn shock.

Answer 11

Urine output (UO)

Question 12

For prolonged care of burn patients, a _________ infusion may provide more consistent analgesia and help conserve supplies of analgesic medications.

Answer 12

ketamine

Question 13

Alternative: instead of using topical antimicrobial cream, use ______ nylon dressing

Answer 13

silver

Question 14

T/F when performing an escharotomy incision on a burn patient, you must not carry the incision across any of the involved joints

Answer 14

false

Question 15

____ and exercise are included in the best, better, and minimum care recommendation when treating a patient with an extremity burn

Answer 15

elevate