BURNS Flashcards
referred to as skinning, chafing, or a term
named for the surface causing t
A friction burn
Human skin can tolerate
until 42 – 44’c
cause pain and reddening of the epidermis (outer
layer of the skin).
FIRST-DEGREE BURNS (SUPERFICIAL BURNS)
destroy the epidermis and dermis
white or charred.
● There is no sensation in the area since the nerve
endings are destroyed.
THIRD-DEGREE BURNS (FULL THICKNESS)
affect the epidermis and the dermis
● cause pain, redness, swelling, and blistering.
SECOND-DEGREE BURNS (PARTIAL THICKNESS)
can affect your muscles and bones.
● Nerve endings are also damaged or destroyed,
FOURTH-DEGREE BURNS
CALCULATED USING THE LUND BROWDER
CHART
TOTAL BODY SURFACE AREA
to calculate the total body
surface area (TBSA) affected by partial thickness or
full thickness burns
RULE OF NINES FOR BURNS
Used to calculate initial fluid requirements in burn
patients
PARKLAND FORMULA
parkland formula
4ml x body weight (kg) x TBSA(%) = Total crystalloid fluids in first 24 hours
what kind of burns are included for parkland formula?
Only partial thickness and full thickness
AIRWAY & BREATHING
assessment for burns
Sustained burns in an enclosed space
Singed nasal hairs
● Facial swelling
● Blackened sputum
(the zoological term for innervated
whisker hairs,
Singed vibrissae
TREATING MINOR BURNS (PARTIAL THICKNESS
BURN):
CLEAN THE WOUND
APPLY FOR MEDICINES
FOR MAJOR BURNS (SECOND AND
THIRD-DEGREE BURNS):
ASEPTIC TECHNIQUE.
DO NOT BREAK THE BLISTER UNLESS
THERE IS AN ORDER
MANAGEMENT (FLUIDS)
for burns
Fluid resuscitation
fluid resuscitation is required in patients who have
> 10-15% tbsa.
powerful synthetic opioid analgesic
that is similar to morphine but is 50 to 100 times
more potent.
Fentanyl i
THE ABCDE OF EMERGENCY BURN CARE
Airway
Breathing
Circulation
Disability
Exposur
F BURNS (A-AIRWAY)
Don’t forget C-spine immobilization
Consider early intubation
n must always be your first priority for burns
Airway evaluation and maintenance with cervical
spine protection
frequent culprit in compromising the
airway of burn patients.
Edema is
F BURNS (B-BREATHING)
● Give high flow O2 via NR
Assess for CO and CN toxicity
Respiratory Failure
- ARDS
emergency surgical
procedure involving incising through areas of burnt
skin
escharotomy
BURNS (C-CIRCULATION)
– Carboxy therapy
* Determine carboxy Hemoglobin & ABG’s
minimally invasive, injected
temporary procedure utilizing a fine needle to place
carbon dioxide gas directly into subcutaneous
tissue (fat cells).
Carboxy therapy
BURNS (D-DISABILITY)
CN- Cyanide is contained in cigarette smoke and the
combustion products of synthetic materials such
as plastics
tasteless, odorless, and colorless gas and
victims are usually unconscious before they realize
they are being poisoned
CO - Carbon monoxide
kind of infection that happens when
bacteria get into your bloodstream)
Sepsis (