Burns Flashcards
The response phase of burns in which the burn heals.
Hypermetabolic phase
Scar tissue is laid down and remodeled, allowing rehabilitation to begin in this phase of the body’s response to a burn.
Resolution phase
Burns involving the front of both legs of a child is calculated to be how much total body surface area?
14%
What equipment/interventions should the critical care paramedic anticipate when transporting burn patients?
Oxygen/ventilatory adjuncts, intravenous fluids, adequate dressings, and pain medications
What is the opioid of choice in management of pain for burn patients?
Morphine is the most common drug for burn patients. Some clinicians use Fentanyl and hydromorphone.
Which body response phase to burns occurs immediately after a burn?
Emergent phase
A burn involving the head and neck of an adult patient is calculated to be how much total body surface area?
9%
What crystalloid solutions are preferred in burn trauma?
Lactated Ringer’s or normal saline
Burns greater than 10% of TBSA should be covered with what type of dressing?
Dry sterile dressing
What are the four phases of the body’s response to burns?
Emergent phase, fluid shift phase, hypermetabolic phase, resolution phase
What time frame is the fluid amount of the Parkland Formula delivered?
Half the amount over the first eight hours after the burn occurs, then the other half over the next 16 hours.
Movement of fluid occurring shortly after a burn describes which phase of a body’s response to a burn?
Fluid shift phase
How is the Parkland Formula calculated?
4 ml X patient’s weight in kg X TBSA%
Why is pulse oximetry of little value during evaluation of a patient exposed to carbon monoxide?
Carbon monoxide has 200 times more affinity to hemoglobin than oxygen and therefore provides a false positive result
What occurs to the lower airways below the glottis when an inhalation burns cause injury?
Edema, hypersecretion, bronchospasm, impaired immune responses, airway mucosal ulcerations, and impaired mucocilary elevator
Partial-thickness (second degree) burns involve which layers of tissue?
Epidermis and dermis
Full-thickness (third degree) burns involve which layers of tissue?
Epidermis, dermis, and subcutaneous tissue
What is the fluid resuscitation requirement for a 70 kg patient suffering from 27% burns?
7,560 ml
Superficial (first degree) burns involve which layer of tissue?
Epidermis
The Parkland Formula is the standard of care for fluid resuscitation of which types of burns?
Partial and full-thickness burns
What signs and symptoms would indicate that an escharotomy or fasciotomy was necessary?
Circumferential burns, deep burns, deep tissue pain, delay or absence of pulses, progressive parasthesias
