Burns

Question 1

Burn depths

How do they present

How much pain

Answer 1

Superficial - Pink, blisters, skin in tact,
minimal pain

Deep/ Partial - blisters, moist discharge,
Pain

Full thickness - charred skin, dry or waxy, white in colour
NO pain

Question 2

Types of burns

Treatment for each

Adult and kids

Answer 2

Chemical
Water minimum 20 minutes where appropriate- do not use burn aid
consider SOT

Radiation and thermal
Water 20 on 20 off
Burn aid 20 on - MAX

Neonate - 10 mins MAX. (up to 1 month)

Question 3

Considerations for treating burns

Answer 3

Temperature - manage exposure to hot or cold

Type of burn- water - fire - gas

Airway - trumps cooling - ICP

Question 4

Fluid in burns

Answer 4

Saline to maintain normovolaemia (adequate blood pressure)

Perfumes brain and body

Question 5

Once cooling has been done for 20 mins - next step

Answer 5

Cling wrap - loose over burn - cooling can resume with water or hydrogel if required.