Burns Flashcards
What are the three zones of a burn?
Zone of coagulation (deepest)
Zone of Stasis (second layer)
Zone of hyperemia (uppermost layer)
Burn definitions
1st degree or superficial- Sunburn
2nd degree or partial thickness- blisters
3rd degree or full thickness - completely destroyed tissue
How much BSA is the palm?
1% using the palmer method
What types of patient’s need to be transported to a specialized burn center?
Partial thickness burns greater than 10% BSA
Burns that involve areas of function
3rd degree burns in any age group
Electrical, chemical or inhalation burns
Concomitant trauma
Preexisting medical disorders that delay healing
Burned pediatrics without qualified pediatric personnel
What are the three Burn formulas?
(BUP)
Brooke
Universal
Parkland
What is the Brooke formula?
2 ml x kg x BSA = fluids over 24 hours
1st half given in 1st 8 hours from time of burn
What is the universal formula?
2-4 ml x kg x BSA = fluids over 24 hours
(2 ml for adults and 3-4 ml for pediatrics)
1st half given in the 1st 8 hours from time of burn
What is the parkland formula?
4 ml x kg x BSA = fluids over 24 hours
1st half in 1st 8 hours from the time of burn
What are patient’s with circumferential burns at risk for?
Risk of compartment syndrome
Rules of 9 for adults?
9 % for head and arms
18% for front thoracic, back thoracic and legs
1% for groin
Rules of 9 for pediatrics?
18% head, front thoracic, back thoracic
9% arms
14% legs
1% goin
How many volts are considered high voltage?
> 1,000 volts
What is considered low voltage?
<1,000 volts
What are paths of resistance in the body for electrocution?
Tissues with nerves, blood vessels and muscles, tendons and fat
Which type of current would you be able to pull away from? AC or DC?
AC (alternating current)
