Burns Flashcards
Ice burg type of burn
Electrical burn
Cold application duration
5-10 mins
Sequence of sensation felt during cold application
Cold
Burning
Aching
Numbness
Low voltage electrical burn
500-1000 volts
High voltage electrical burn
> 1000 volts
Home related electrical burn
110-220 volts
3rd degree burn
Chemical burn
Zones of burn injury
Zone of coagulation
Stasis
Hyperemia
Irreversible cell damage
+infection
If not tx immediately will result to a deeper injury
Zone of coagulation
If not treated within 24-48 hours the cells may die
Zone of stasis
Minimal cell damage
Should recover
Zone of hyperemia
Degrees of burn injury
Superficial burn(1st degree) Superficial partial thickness(2nd degree) Deep partial thickness(2nd degree) Full thickness burn(3rd degree) Subdermal(4th degree)
Damage to epidermis
+erythema,tenderness,SLIGHT EDEMA and no blistering
Superficial burn
1st degree
Sun burn
Superficial burn
1st degree
Healing period of superficial burn
3-7 days
Damage to epidermis and upper layer of dermis(papillary)
Superficial partial thickness burn
Bright red, MODERATE EDEMA, intact blister, moist surface
+severe burn
Superficial partial thickness burn
Most painful burn injury
Superficial partial thickness burn
Partially Damaged free nerve endings = severe pain
Superficial partial thickness burn
Healing period for Superficial partial thickness burn
7-21 days
Damage to epidermis and MOST of the dermis(upto reticular layer)
Deep partial thickness burn
Considered waxy white/waxy red, MARKED EDEMA, little to no pain dt the damaged free nerve endings
Deep partial thickness burn
+formation of raised scars
Deep partial thickness burn
Healing period for Deep partial thickness burn
21-35 days
Scars that are within their boundaries
Hypertrophic scars
Mx for hypertrophic scars
Pressure garmet
Custom made pressure garmet
Scars that are beyond their boundaries
Keloid
Damage to epidermis, dermis and subQ
Full thickness burn
3rd degree burn
White/gray/charred with a dry surface
Full thickness burn
3rd degree burn
+formation of eschar
Full thickness burn
3rd degree
Black wound and leathery that delays wound healing
Eschar
Burns that needs surgical intervention
Full thickness burn(3rd degree) Subdermal burn(4th degree)
Damage to epidermis,dermis,subQ extending to ms and bone
May be + to bone infection(osteomyelitis)
Subdermal burn
4th degree
Burn that amputation may be a possible intervention
Subdermal burn
4th degree
Electrical burn
Subdermal burn
4th degree
Prolonged contact with flame
Subdermal burn
4th degree
Chemical burn
Full thickness burn
3rd degree
Commonly used in ER to assess percentage of burn
Rule of nines
Used inside the hospital more detailed or specific in identifying the burn percentage
Lund-Browder chart
Minor 2nd degree burn percentage
<15%
Moderate 2nd degree burn percentage
15-30%
Major/critical 2nd degree of burn percentage
> 30%
Minor 3rd degree burn percentage
<2%
Moderate 3rd degree burn percentage
2-10%
Major or critical 3rd degree burn percentage
> 10%
Most common cause of death in burn
Infection
Damage to blood vessels due to burn will cause
Hypovolemic shock
Most common site of heterotrophic ossification in burn pxs
Post elbow
Hip
Shoulder
Most common site of myositis ossificans in burn pxs on UE
Brachialis
Most common site of myositis ossificans in burn pxs on LE
Quads
Electrical burn other complications
Cataract formation
Ventricular fibrillation
SCI
Renal failure
Position of neck deformity
Neck flexion
Orthosis for neck deformity
Cervical collar(soft)
Position of deformity at shoulder
Add and IR
Orthosis for shoulder deformity
Airplane/axillary splint
Stress for shoulder deformity
Abd 90%
ER
Slight sh flexion(for fxnal needs)
Position of elbow deformity
Elbow flexion
FA supination
Orthosis for elbow deformity
Post elbow splint
Arm splint
Position of wrist and hand deformity
Claw hand(intrinsic minus)
Orthosis for wrist and hand deformity
Resting hand splint
Position of hip deformity
Hip FADDIR
Orthosis for hip deformity
Post hip splint
Position of knee deformity
Knee flexion
Orthosis for knee deformity
Post knee splint
Position of ankle deformity
PF
Othosis for ankle deformity
Plastic AFO
Medication applied prior to grafting
Furacin
Nitrofurazone
Drug for surface organisms
An anti bacteria
Silver nitrate
Drug for +pseudomonas
Silver sulfadiazine
Silvadine
Drug that penetrates thick eschar
Sulfamylon
Mafenide acetate
Drug that liquify a yhick eschar
Travase
Elase
Graft that uses cadaver skin
Only for temporary
Allograft/homograft
Graft that uses animal skin
Only for temporary
Xenograft/heterograft
Graft that uses pxs own skin
Permanent
Autograft
Mc site of autograft
Buttocks
Thigh
Graft that contains collagen and synthetics
Biosynthetic graft
A laboratory grown skin
Cultured skin
Graft that contains epidermis and upper layer of dermis from donor skin
Split-thickness graft
Graft that contains epidermis and the whole dermis from a donor skin
Full thickness graft
An incision used to lengthen a burn scar
Increases ROM
Z-plasty