Burns

Question 1

What is the most common cause of burns in adults and kids?

Answer 1

Adults - flame

Kids - scald

Question 2

If a burn is blistering what level of skin is most likely affected?

Answer 2

Upper dermis (either superficial or mid dermal burn)

Question 3

Match the following colours of burns to the depth of burn:

• red
• pale pink
• blotchy red
• white and leathery
• dark pink

Answer 3

Red - epidermis
Pale pink - superficial dermis
Dark pink - mid dermis
Blotchy red - deep dermis
White and leathery - whole thickness

Question 4

From what level of burn is surgery required?

Answer 4

Deep dermal (sometimes mid dermal)

Question 5

Explain the rule of 9%.

How much does a patients hand roughly equate to total body SA wise?

Answer 5

Trunk = 18%
Upper limbs = 9% each (4.5% for front and back of arms)
Lower limbs = 9% for each side of leg

If exam question look at onenote

Hand = ~1% of total body SA

Question 6

What is the name of the surgery given where incisions are made along lines of the body to help release the burnt skin?

In what situations is this indicated?

Answer 6

Escharatomy

• resp distress
• if burns causing tourniquet effect

Question 7

At what burn depth what cap refill no longer be present?

Answer 7

Deep dermal

Would be slow from mid dermal

Question 8

What is the most painful burn?

Answer 8

Superficial dermal

Question 9

What can be used as a temporary dressing on burns?

Answer 9

Clingfilm

Question 10

What analgesia should be given?

Answer 10

IV morphine if indicated