Burns - Mx

Question 1

Immediate first aid

• stop ? ? straight away
• remove overyling ? and apply ? ? ? to the area
• ? ? can be used temporarily and removes ?

Answer 1

burning process
clothing
cool running water
cling film
pain

Question 2

Resuscitation.
o If the burn area is over ?% (?% in a child) admit for ? ?

Assessment of burn severity;
o In terms of ?, ? and ? of the burn

Subsequent treatment:
0 Manage the ? condition, mitigate ? effects, then focus on ? and ?.

Answer 2

15
10
iv fluids
depth
area
location
local
systemic
reconstruction
rehabilitation

Question 3

Systemic Management;

Pain will require ? opiates
Systemic ? are only required if there is evidence of ? infection .
Nutrition should be managed carefully, with ? ? instigated early if ? nutrition is not possible .

Answer 3

iv
abx
invasive
parenteral nutrition
enteral

Question 4

? replacement is essential, with volume of ?’ s in the first 24 hours required calculated according to the ? formula;
o ?ml x Total Burn ? ? x weight (?).
o Half of this should be given in the first ? hours, with the other half
given in hours ?-? (from the time of ?) .
o ? to ensure adequate urine ?.

Answer 4

fluid
hartmann's
parkland
4ml
surface area
kg
8
8-24
burn
catheter
output

Question 5

Local Management;

Partial thickness burns.
o Simple non-? dressings (e.g. ?-impregnated gauze)
used, with a topical ? if infection is suspected .
o If the ? are involved, they may be covered in ? cream
and placed in a sealed ? bag .

Answer 5

adherent
paraffin
abx
hands
sulfadiazine
polythene

Question 6

Local mgmt

Full thickness burns.
o Total ? of the burn wound is required .
o ? defects can be closed primarily, whereas ? defects require skin ?.
o This may be required for some ? ? thickness burns also

Answer 6

excision
smaller
larger
grafting
deep partial

Question 7

Local mx

Full thickness circumferential burns
-can ? to restrict the ? ? to limbs, or restrict ? in the chest, so they must be ? acutely with ?

Burns to hands req special care, as ? of full thickness burns can result in ? and significant ? -> should be ?, ? and early burn ? and grafting may be indicated

Answer 7

constrict
blood flow
breathing
incised
escharotomy
scarring
contractures
disability
splinted
elevated
excision

Question 8

Complications;
Early.
o Wound ?: invariably due to S. ? in the first week, or ?thereafter.
o Wound ? in circumferential burns.

Answer 8

sepsis
pyogenes
pseudomonas
contractures

Question 9

Complx
Late:
o Sepsis: from the ? and also ?-related chest infection.
o Acute ? ulceration: ? ulcer.
o ???: due to hypovolaemia and precipitation of haemo/myoglobin.
o ? disturbances.

Answer 9

wound
smoke
peptic
curlings
AKI
psych