Burns Flashcards
1
Q
Severity
A
First deg- epidermis, painful, red
Second- dermis. Superfic is painful red, deep in painless white
Third- whole dermis, painless, leathery
2
Q
Rule of 9s not apply to kids
Head more eg 18 in baby
Leg less eg 14 in baby
A
Head- 9 1 Arm- 9 Front torso- 18 Back torso- 18 1 Leg- 18 Genitals- 1
3
Q
px
A
Pain
Hypovol
Inhalation signs- RR, stridor, crackles, wheeze, cough, distress, black sputum
Reduc GCS, headache
4
Q
ix for major
Ie over 5% and full thickn over 2cm sq
A
ABG Carboxyhaemoglgobin FBC X match Urea, cr, UE
5
Q
mx
A
A to E Humidif O2 til carboxyHb back CXR, ABG Consider poison expos IV fluid bolus if over 10-15%, then guided by UO Analgesia NGT and catheter Maybe tetanus immproph Sec survey and tx other inj