Burns Flashcards
What are 20-25% of burns?
work related
What are 20-25% of burns?
work related
What are the different types of burns?
scald, contact, fire, chemical, electrical, radiation
What causes scalds?
hot liquids, grease, steam, spill or immersion
What causes contact burns?
stove
What causes fire burns?
flash and glame
What are chemical burns?
acid or base
What are electrical burns?
household or lightening
Who has the highest incidence of burns?
What type of burns do younger kids get?
contact and scalds
Who gets serious burns?
males 20-29 yo
children
What percentage of burn pt in hospital die?
5%
What happens in structural fires?
half die from asphyxiation
What is an example of first degree burn?
sunburn
How does a first degree burn present?
epidermal, painful, blanches, erythematous
How does second degree burns present?
superficial dermal, painful, blisters present, erythematous, weeping
How does third degree burns present?
full thickness, insensate, does not blanch, hard/lethery, black eschar, will contract and slowly reepithelialize
How does forth degree burns present?
deep organ involved, insensate, does not blanche, involves bone, fat or muscle, extensively sustained burns
How do you determine severity of burns?
degree of heat, length of time, conductivity of skin, heat transfer, heat capacity of burn agent
What is a red flag you need to think about with burns?
abuse
What is the treatment for burns?
airway, fluid and pain management
What do you need to do before placing dressing?
clean with saline
What do you put on superficial burns?
frequent change
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
What are the extreme burn tx?
surgical debridement, escharotomy, skin grafts, referral to burn unit
What is the burn center referral criteria?
Pt with burns and associated trauma
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
What are the different types of burns?
scald, contact, fire, chemical, electrical, radiation
What causes scalds?
hot liquids, grease, steam, spill or immersion
What causes contact burns?
stove
What causes fire burns?
flash and glame
What are chemical burns?
acid or base
What are electrical burns?
household or lightening
Who has the highest incidence of burns?
What type of burns do younger kids get?
contact and scalds
Who gets serious burns?
males 20-29 yo
children
What percentage of burn pt in hospital die?
5%
What happens in structural fires?
half die from asphyxiation
What is an example of first degree burn?
sunburn
How does a first degree burn present?
epidermal, painful, blanches, erythematous
How does second degree burns present?
superficial dermal, painful, blisters present, erythematous, weeping
How does third degree burns present?
full thickness, insensate, does not blanch, hard/lethery, black eschar, will contract and slowly reepithelialize
How does forth degree burns present?
deep organ involved, insensate, does not blanche, involves bone, fat or muscle, extensively sustained burns
How do you determine severity of burns?
degree of heat, length of time, conductivity of skin, heat transfer, heat capacity of burn agent
What is a red flag you need to think about with burns?
abuse
What is the treatment for burns?
airway, fluid and pain management
What do you need to do before placing dressing?
clean with saline
What do you put on superficial burns?
frequent change
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
What are the extreme burn tx?
surgical debridement, escharotomy, skin grafts, referral to burn unit
What is the burn center referral criteria?
Pt with burns and associated trauma
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
