Burns

Question 1

Rule of Nines

Answer 1

Commonly used technique to determine burn size in adults
- Burn size is determined based on percentage of total body surface area (TBSA).

-Anterior & Posterior Arm: 9%
-Anterior Head & Neck: 4.5% (&post: 9%)
-Anterior Chest: 18% (&post: 36%)
-Legs: 18%
-Genitals: 1%
-Total Body Surface Area (TBSA): 31.5%
(Palmar Surface of hand: 1%)

Question 2

The burn percentage TBSA is used for the following:

Answer 2

-Calculating nutritional and fluid requirements
-Determining level of acuity to establish the level of medical treatment needed (ex. admission to an intensive care unit)
-Classifying patients for use of standardized protocols

Question 3

Phases of Burn Management and Rehab

Question 4

Emergent Phase

Answer 4

From initial injury to approx. 72 hours after the burn

Question 5

Medical Management: Emergent phase

Answer 5

-Attempt to stabilize
-May include: Dluid resuscitation, establishment of adequate tissue perfusion by mechanical ventilation, achieve cardiopulmonary stability
-Associated injuries also evaluated and treated here

Question 6

Inhalation Injury (Emergent Phase)

Answer 6

Important consideration during this phase
-Damage too upper airway from inhaling smoke or noxious gases results in inhalation injury
-Damages the respiration