Burns

Question 1

burn definition

Answer 1

A traumatic injury to the skin or other organic primarily caused by heat or exposure to electrical discharge, friction, chemicals or radiation.

Question 2

common denominator of any burn

Answer 2

Denaturation of protein and cell death

Question 3

what temp is there usually damage

Answer 3

above 140 F

Question 4

conduction vs convection

Answer 4

Conduction
-Hot solid comes in contact with the skin
Convection
-Hot liquid/steam comes in contact with skin
-Steam offers a 30 fold increase in heat transfer co-
efficient and thus has the capacity to cause far more
skin damage

Question 5

Zone of Coagulation:
Zone of Stasis:
Zone of Hyperemia:

Answer 5

Zone of Coagulation: circulation dead, tissue is killed/necrosed, the protein is denatured and lost (full thickness)

Zone of Stasis: circulation is reduced but tissue is not killed/necrosed (risk of necrosis)

Zone of Hyperemia: circulation intact but inflammation of tissue exist, tissue not killed

Question 6

criteria for minor burns

Answer 6

-Isolated injury (i.e., no suspicion of inhalation or high-
voltage injury)
-Does not involve face, hands, perineum, or feet
-Does not cross major joints
-Is not circumferential

Question 7

rule of nines adult: front and back

Answer 7

18%

Question 8

rule of nines adult: arms

Answer 8

9%

Question 9

rule of nines adult: legs

Answer 9

18%

Question 10

rule of nines adult: head

Answer 10

9%

Question 11

rule of nines child: front and back

Answer 11

18%

Question 12

rule of nines child: arms

Answer 12

9%

Question 13

rule of nines child: head

Answer 13

18%

Question 14

rule of nines child: legs

Answer 14

14%

Question 15

major burns criteria

Answer 15

Full thickness burns
> 10% BSA
Involving any of the following areas:
      Hands
        Face
        Perineum
        Eyes
        Ears
        Feet

Question 16

major burns criteria MOA

Answer 16

smoke inhalation
caustic chemicals
high voltage electricity
accompanied by trauma
in a patient with co-morbid disease

Question 17

imp to do with chemical burns

Answer 17

IRRIGATE virogously

Question 18

what pt do you get CO levels in

Answer 18

ALL

Question 19

when should you consider hydrogen cyanide poisoning

Answer 19

Fire temps > 315C (599F) cotton/vinyl/plastic = inhaled toxin

Question 20

when should you use steroids

Answer 20

never

Question 21

should you use bronchodilators

Answer 21

yes

Question 22

baux Scores >140-150 =

Answer 22

little to no hope of survival (high mortality rate)