burns

Question 1

burns caused by heat

Answer 1

irrigate with cool water for 10-30 mins and cover burn with cling film

Question 2

electrical burns

Answer 2

switch off power supply and remove person from source

Question 3

chemical burns

Answer 3

brush any powder off then irrigate with water

Question 4

what is Wallace’s rule of Nine’s ?

Answer 4

head+neck = 9%
each arm = 9%
each anterior leg = 9%
anterior chest = 9%
posterior chest = 9%
anterior abdomen = 9%
posterior abdomen = 9%

Question 5

what is the Lund and browder chart

Answer 5

palmar surface = 1% of body area

Question 6

what is a first degree burn

Answer 6

superficial epidermal burn that is red and painful, dry with no blisters

Question 7

what are second degree burns

Answer 7

partial thickness superficial dermal) : painful, pink and blistered with slow cap refill
partial thickness ( deep dermal): white with patches of non blanching erythema.

Question 8

third degree

Answer 8

full thickness burns - white / brown/ black , no pain

Question 9

which burns require a referral to secondary care ?

Answer 9

-deep dermal and full thickness burns
- superficial burns > 3% TBSA in adults and >2% in kids
-superficial dermal burns involving face, hands, feet, perineum.
-inhalation injury
-electrical / chemical burn
- suspicion of NAI

Question 10

management of severe burns

Answer 10

smoke inhalation : airway oedema
early intubation

Question 11

parkland formula

Answer 11

TBSA% x weight ( kg) x 4 With half of the fluid

Question 12

when is an escharotomy recommended

Answer 12

full thickness burns to the torso or limbs

Question 13

secondary infection in burns