Burns

Question 1

Represents area of dead skin and soft tissue; area
exposed the most to the heat

Answer 1

Zone of Coagulation

Question 2

Viable skin
Represents “normal” skin

Answer 2

Zone of Hyperemia

Question 3

Considered as the CRITICAL ZONE because it can go
either way

Without adequate fluid resuscitation and poor local
wound care, it may convert to a Zone of Coagulation

Answer 3

Zone of Stasis – also called ZONE OF ISCHEMIA

Question 4

Frequent (most common)
 Most common up to 5 years of age  Exposed areas burn less

Answer 4

Thermal Scald
Thermal Scald do not remove their

Question 5

Only exposed areas affected  clothing
can act as protection
 Partial Thickness Burns

Answer 5

Thermal Flash

Question 6

Ignited clothes cause Full-Thickness Burns  Highest Mortality – also due to inhalation
injury

Answer 6

Thermal Flame

Question 7

important to draw attention that it is not only thermal burns that we are dealing with, but there is also involvement of other organs

Answer 7

Electrical Injury

Question 8

Concomitant Injuries:
o Cardiac Arrythmias o Compartment Syndrome o Rhabdomyolysis

Answer 8

Electrical Injury

Question 9

It is important to do baseline injury
upon admission o If you find abnormalities, this usually
reverts back to normal after 2-3 days

Answer 9

Arrythmias due to electrical injury

Question 10

can cause Renal Injury  Adequate Urine Output (aim is 70-100
mL/hour  higher than the normal 30-50
mL/hr) 

Answer 10

Rhabdomyolysis Myoglobinuria

Question 11

Treatment for rhabdomyolysis

Answer 11

Sodium Bicarbonate and/or Mannitol

Question 12

Deeper; more toxic
 Fat Saponification
 Liquefactive Necrosis  allows reagent to
penetrate further and deeper

Answer 12

Alkali chemical burn

Question 13

Self-limiting; more benign
 Coagulation Necrosis
 Eschar Formation  limits the agent from
spreading around

Answer 13

Acid burn

Question 14

Chemical Burn management

Answer 14

IRRIGATE WITH WATER OR SALINE
o 30 mins for Acid; 2 hours for Alkali
o As long as the patient feels pain or you can
smell the chemical agent, you continue to
irrigate

Question 15

Parkland Formula

Answer 15

4 mL x BW x TBSA Burn

Question 16

Fluid of Choice:

Answer 16

Plain Lactated Ringer Solution

Question 17

Most popular formula for pedia Px would be the ____
o Whatever you get from this, you add to your Parkland Formula 

Answer 17

Holliday-Segar Formula

Since children cannot tolerate being Hypoglycemic, D5.3 LR
is the fluid of choice