BURNS

Question 0

WHAT ARE THE S&S FOR AIRWAY BURNS

Answer 0

• EVIDENCE OF BURNS TO UPPER TORSO, NECK & FACE
• FACIAL & UPPER AIRWAY OEDEMA
• SOOTY SPUTUM
• BURNS THAT HAVE OCCURRED IN AN ENCLOSED SPACE
• SINGED FACIAL HAIR (NASAL HAIR, EYEBROWS, EYELASHES)
• RESPIRATORY DISTRESS ( DYSPNOEA +/- WHEEZE, TACHYCARDIA, STRIDOR)
• HYPOXIA (RESTLESSNESS, IRRITABILITY, CYANOSIS, DECREASED GCS)

Question 1

DO ELECTRICAL BURNS RECEIVE FLUID THERAPY

Answer 1

YES!

TO MAINTAIN ADEQUATE RENAL PERFUSION

Question 2

WHAT IS THE Mx FOR BURNS

Answer 2

-COOL BURN FOR 20min ( COOLING PRIOR TO ARRIVAL SHOULD BE ACCEPTED IN TOTAL COOLING TIME)
-MAINTAIN NORMOTHERMIA (VIP!!!!)
-REMOVE BURNT CLOTHING & JEWELLERY WHEN SAFE TO DO SO
-DRESSING = CLING WAP LONGITUDINALLY
*COOL THE BURN, WARM THE PT
-PROVIDE ANALGESIA
-PARTIAL OR FULL THICKNESS BURNS >15% BSA = FLUID THERAPY
==> %TBSA X PT WT = VOL
GIVEN OVER 2 HR FROM TIME OF BURN

Question 3

ADULT RULE OF 9’S

Answer 3

HEAD = 9
CHEST + ABDO = 18 (18 FOR FRONT 18 FOR BACK)
GENITALS =1
ARMS = 9
LEGS = 18
*** ARMS AND LEGS = CIRCUMFERENTIALLY

Question 4

WHICH BURN PTS REQUIRE ASSESSMENT BY A SPECIALISED BURNS SERVICE

Answer 4

FACE, HANDS, FEET, GENITALIA, MAJOR JOINTS OR CIRCUMFERENTIAL BURNS OF THE CHEST OR LIIMBS INVOLVING >20% TBSA