Burns

Question 1

Burn protocol

Answer 1

I- 3 degree burns to >20% TBSA

1. Stop burning
2. Assess airway, give O2
3. Hypothermia prevention
4. BP >90mmHg -> no = Hemorrhagic shock Protocol
5. Burn mgt - cover burns in dry sterile dressing
6. Calculate TBSA
7. Establish IV access
8. Initiate Rule of Ten/ Parkland for pedes
9. Pain protocol
10. Contact SMA, foley for prolonged tsp/ decreased LOC

Question 2

S/S of Burns to airway

Answer 2

soot in mouth
burns to upper chest
carbonaceious sputim 
SOB
stridor
voice changes
hoarse voice

Question 3

TBSA

Answer 3

Adult
H- 4.5/ 4.5 = 9
C- 18%
B- 18%
A- 4.5/4/5 = 9
L- 9/9 =18
GH2- 1 each = 3

Child
H- 7/7 =14
C- 18
B- 18
A- 4.5/4.5/ = 9
L- 8/8 = 16

Question 4

Rule of Ten

Answer 4

%TBSA x 10ml/hr(A 40-80kg) - for every 10kg above 80, add 100ml/hr

Question 5

Parkland Formula for Pedes

Answer 5

4ml NS/RL x (kg)%TBSA =ml/24hr

1/2) 4mlNSxkg%TBSA/2
1/4 4mlNSxkg%TBSA/4
1/4 4mlNSxkg%TBSA/4
24/ 8/ 8/ 8/