Burns, environmental, envenomation, dive and drowning

Question 1

skin

Answer 1

first line of defense against external factors

Question 2

What kinds of burns are there?

Answer 2

Superficial, partial thickness, full thickness

Question 3

Emergent Phase (stage 1)

Answer 3

Tachycardia
Tachypnea
Mild HTN
Mild anxiety

Question 4

Fluid shift phase

Answer 4

third spacing

Question 5

Hypermetabolic Phase

Answer 5

Lasts days to weeks

Question 6

Resolution phase

Answer 6

Scar formation and rehab

Question 7

Burn shock

Answer 7

Redistribution of blood flow the the splanchnic bed. Less Mesenteric blood flow to help maintain Cerebral and cardiac perfusion

Question 8

burn wound edema

Answer 8

Maximal edema formation occurs in about 8 hours in smaller burns and in 12-24 hours in larger burns.

Question 9

For

Answer 9

Use patients palm (1%)

Question 10

What do you clean burns with

Answer 10

tap water and baby shampoo

Question 11

What kind of toxin is venom

Answer 11

Destroys all cells- Neurotoxin, Hemotoxin and cardiotoxin

Question 12

HR over 100 and b/p still ok with heat exhaustion

Answer 12

give 500 fluid bolus

Question 13

Jellyfish stings

Answer 13

wash with hot salt water, vinegar and alcohol

Question 14

Rule of 9’s

Answer 14

?

Question 15

Parkland burn formula

Answer 15

?

Question 16

Diving patients

Answer 16

hyperbaric at UCSD

Question 17

PISS

Answer 17

decompression sickness

Pain,

Question 18

drowning vs near drowning

Answer 18

…

Question 19

Salt water drowning causes

Answer 19

edema

Question 20

TCA’s

Answer 20

sinoquin, elovil, a…..il, tofranil give bicarb

Question 21

hallow point round expands how much

Answer 21

2.5x