Burns/Head Injury/Eye Injury

Question 1

Rule of 9’s

Answer 1

> 14 yo

• Head/neck 9%
• Each upper limb 9% lower limb 18%
• thorax/abdomen Front 18% Back 18%
• Perineum 1%

Question 2

Parkland formula

Answer 2

LR- 4cc/kg/% total burn surface 1st 24 hrs –> 50% 1s 8hr & rest over 16hrs

Question 3

Referral

Answer 3

• Extent- 2nd/3rd degree >10% TBSA 20% >10yo or >5% 3rd degree burn
• Burn site- hands/feet, face, peritoneum, joints
• Type- electrical, chemical, inhalation

Question 4

Electrical cord bite

Answer 4

-refer surgeon cause potential labial artery bleeding 1-3 weeks after injury

Question 5

Head trauma-High Risk

Answer 5

• LOC > 1min, Depressed mental status, Focal neuro signs, seizures, irritability
• Signs of depressed or basilar skull fracture (Raccoon eyes, Battle sign & Hemotympanum)
• Acute skull fracture
• Bulging fontanel
• Vomiting >5 times or for > 6hrs

Question 6

Consussion

Answer 6

1- sx less RTP 20 min, asymptomatic initial exam
2- sx >15, no LOC –> RTP 1 week, asymptomatic 1 week
3- LOC –> RTP 1 month, asymptomatic 1 week

Question 7

Hyphema

Answer 7

-Blood anterior chamber of eye

TX- topical steroids & cycloplegia drops, bed elevated 30-45 degrees