BURNS

Question 1

1st degree

Answer 1

Superficial
only the epidermis
o Dry and red
o Painful
o 1-5 days healing
o No scarring
o Sunburn

Question 2

2nd degree

Answer 2

Partial thickness
Epidermis and Dermis affected
o 2-3 weeks to heal
o Wet or waxy appearance
o May convert to full
o Blisters
o May need grafting
o Severe pain
o Severe scarring
o Contracture potential
o Scald, flame, oil

Question 3

3rd degree

Answer 3

full-thickness
Dermis and epidermis
o Waxy white to leathery grey
o Dry and inelastic
o Will need grafting
o Small areas may heal by secondary intention
o Scald, flame, steam, grease, chemical

Question 4

Hypertrophic scar:

Answer 4

red hard collagenous scar, usually appears after 6-8 weeks post-healing

Question 5

Kinds of burns

Answer 5

Thermal
Chemical
Electrical
Radiation
Cold

Question 6

Line of demarcation

Answer 6

Line that discriminates between healthy skin and necrotic tissue

Question 7

Electrical burns:

Answer 7

HAVE AN ENTRY POINT AND AN EXIT POINT
CURRENT RUNS ALONG PATH OF LEAST RESISITANCE
PROLONGED AND OR HIGH VOLTAGE- TISSUES WITH MORE RESISTANCE INCREASE IN TEMPERATURES CAUSING SURROUNDING TISSUE DEATH

Question 8

what temperature can cause a third-degree burn

Answer 8

140º F

Question 9

What is %TBSA?

Answer 9

PERCENTAGE OF TOTAL BODY SURFACE AREA THAT IS BURNED.

Question 10

What is the “rule of 9S”?

Answer 10

Divides the body into
areas of 9%.

Question 11

What is sheet vs. meshed autograft?

Answer 11

Sheet- solid
Meshed- perforated. Can be stretched over > area.

Question 12

What is a STSG? (split-thickness skin graft)?

Answer 12

STSG includes of the epidermis and some of the dermis.
Full thickness graft requires surgical closure.