Burns

Question 1

Lund and Browder Classification

Answer 1

• Extent of injuries
• Used in burn centers- more accurate
• Body image used to determine % of body burned

Question 2

Rule of 9s

Answer 2

• Areas of body designated to 9%
• Leg chest 1/2 arm to determine extent of burn
• Children have larger head percentage
• pts palm = 1%

Question 3

First degree- Sx

Answer 3

• Superficial epidermis
• Red blanching skin with normal texture
• pain and cap refill
• Heals in 10 days

Question 4

Second degree- Sx

Answer 4

• Superficial to deep partial
• Edematous and thick skin
• pain and cap refill
• May take up to 60 days to heal

Question 5

Third degree- Sx

Answer 5

- Full thickness
to subQ
- White black to brown 
-Leathery skin
- No pain or cap refill
- No spontaneous healing

Question 6

Thermal burns- Tx

Answer 6

• ABCDEs first
• Control pain and fluids
• Consider compartment syndrome
• Update tetanus
• Transfer to burn unit greater 10%

Question 7

Chemical burns- Eti

Answer 7

• Alkali worse than acid
• Alkali- full thickness leathery and slippery
  Acid- partial thickness Erythema and edema
• Odd shaped lesions

Question 8

Chemical burns- Sx

Answer 8

• Development of burn is slower

- Can go to full thickness

Question 9

Chemical burns- Tx

Answer 9

Irrigation with ta water

• Do not attempt to neutralize
• Fluids grafting send to burn unit