Burns

Question 1

What percentage of burn surface are required fromal resuscitation and referral to a burns specialist unit?

Answer 1

15% in adult

10% in children

Question 2

What should be done initially when someone presents with burns?

Answer 2

Remove burnt clothing
Irrigate burn for 10 mins w/ cool sterile saline
Cool the burn and warm the patient to prevent shock

Question 3

What do you cover the burns with?

Answer 3

Cling Film

Question 4

What do chemical burns require

Answer 4

Continuous irrigation

Question 5

Airway and Breathing

Answer 5

Give high flow O2
Formal airway assessment
Assess C- spine and chest injuries

Question 6

Circulation

Answer 6

Extreme inflammatory response
Large volumes of fluid are needed for resuscitation
Give Hartmann’s solution

Question 7

Parklands formula

Answer 7

Vol in millilitres= 4*body weight (kg) * BSA of burn (%)

Question 8

When to give fluid?

Answer 8

Give 50% calculated from parklands in the first 8h and then next half in the next 16h.

Question 9

Which fluid should be avoided in the first 24h?

Answer 9

Colloid due to colloid permeability

Question 10

Superficial Burns

Answer 10

Red
Painful
Blistering
Hair follicles in tact

Question 11

Deep dermal burns

Answer 11

Red
Painful
Peeling
Few follicles in tact

Question 12

Full thickness burns

Answer 12

Pale
Charred black or grey
No erythema
No hairs intact
Insensate