Burns Flashcards
1
Q
Name causes of burns
A
Scalds Fire Contact Chemical Electrical Lightning
2
Q
Explain the physiology of burns
A
Direct microvascular coagulation with extension of injury
Secondary infection and activation of vasoactive substance -> systemic inflammatory response -> capillary permeability with leakage of fluids and interstitial oedema -> decr CO and BMR
Resus -> incr CO and BMR
3
Q
Name types of burns
A
Superficial (erythematous) Superficial partial (painful) Deep partial (painless) Full thickness (tendons, subcutaneous, bones)
4
Q
How is TBSA estimated?
A
Rule of 9s
Minor <15% adults (10% children)
Moderate 15-25% adults (10-15% children)
Severe >25% adults (>15% children)
5
Q
Name criteria for burns
A
Severe Facial Hands Genitalia Electrical Chemical Inhalation
6
Q
Discuss the immediate management of burns
A
ABCs of resus Fluids: Isotonic ringer's lactate Parkland formula 4 x %TBSA x kg 50% in 8hrs 50% last 16hrs Supportive - nutritional - psychological - PT - OT
7
Q
Discuss the definitive management of burns
A
Sloughectomy
Temporary wound coverage
Skin graft once granulated
8
Q
Name complications of burns
A
Shock Pneumonitis Renal failure Infections Curling ulcers Scarring Depression Marjolin ulcers
