burns and wounds Flashcards
Who are burns most common in
males age 18-35
When do you intubate someone with thermal burns
why
Early b/c swelling will only get worse
In those who have a pulmonary background.. what induction agent is the best choice
why
Ketamine
Bronchodilator
What are the 3 rules used to determine TBSA burned
Rule of nines
Lund-Browder
Palm rule
What formula is used to determine fluid resuscitation
What are most important factors with fluid resuscitation
Parkland
modified Brooke
*either is fine- base it off your patient–> parkland may be too much fluid
Patient tolerance and resposne
What is an Escharotomy
How are the incisions for extremities
For thorax?
Fasciotomy of burn tissue because of compartment syndome
longitudinal
bilateral mid-axillary line w/ connecting transverse incision
How do you empirically treat a burn patient for toxic exposures
Cyanokit
What type of burn is not included in TBSA calculations
1st degree/ superficial thickness
What layer of skin does a second degree burn effect
How long does it take to heal?
Will it scar
papillary dermis
2-3 weeks
no
If a blister forr a burn opens, what do you put on it
bacitracin
Where in the skin does deep partial thickness (2nd degree) effect
What will these burns look like
How do you treat
Reticular dermis
White/lethary skin + insensate
Debridment and grafting
What will be seen with full thickness burns look like
Fat will be exposed
insensate
contractures
no capillary refill
What TBSA is considered a severe burn
> 20%
What vaccine status needs to be checked with burn patients
Tetanus
What do you prophylacticly treat burn patience with
you dont
