Burns - Paeds

Question 1

Airway paeds burns, when to intubate?

Answer 1

• reduced conscious state
• inhalation/airway injury
• ?need for transport?

Question 2

What to do if have circumferential chest burn?

Answer 2

restricting ventilation?

maybe escharotomy to decompress

Question 3

how to deal with Breathing in paeds burns?

Answer 3

expose chest

ventilation

Question 4

Airway need to consider also?

Answer 4

Cervical spine control

Question 5

How to assess Airway in child?

Answer 5

Are they crying?

Question 6

Difference between strider vs. wheeze?

Answer 6

Stridor: inhale
Wheeze: exhale

Question 7

How to help airway maneuvers?

Answer 7

Jaw thrust

Chin lift

Question 8

Airway devices that can be inserted?

Answer 8

-Gadel/Orgo-pharyngeal airway - use tongue depressor and don’t twist

• Naso-pharyngeal device
• endotracheal

Question 9

Breathing need to consider?

Answer 9

Supplemental O2 maxed.

Circumferential chest burn?

Question 10

Circulation needs to consider?

Answer 10

Haemorrhage control

Pulses, CRT
IV access

Circumferential limb burn?

Question 11

BP in kids?

Answer 11

Not really useful

Shouldn’t be too low.

Question 12

How to test capillary return in burns?

Answer 12

Elevate limb above heart
Then press mail bed for 5 seconds

Returns in less than 2 seconds

Check ALL 4 LIMBS

Question 13

How to treat limb burn?

Answer 13

Always elevate

Question 14

Disability looks at?

Answer 14

Neurological (AVPU)

Pupils: size, symmetry

Look for:
Head injury?
Systemic intoxication
Need for intubate: P in the poo

Question 15

Exposure ?

Answer 15

Environmental control

Question 16

What things to control in the environment?

Answer 16

Clothing, jewelry, front, The BACK!!!

Warm room, blanket
Cover wound
Baer hugger

Question 17

2 Depth of burns?

Answer 17

Superficial

Deep

Question 18

Epidermal burns counts?

Answer 18

Nope

Question 19

Depth of burns?

Answer 19

Epidermal
Superficial dermal
Mid dermal
Deep dermal
Full thickness

Question 20

First aid for burns? How long? What to use? What not to use?

Answer 20

20 minutes at least
Cold running water only
Or cold water compress

NO ICE.

Question 21

Burn wound assesssment look at?

Answer 21

Depth
Circumferential?
%TBSA

Question 22

Escharotomy need to be done how?

Answer 22

In anatomical position always

Question 23

How to calculate TBSA?

Answer 23

Rule of 9s
Palmar method: 1%-1.5% of patient’s hand

Lund & Browder chart

Question 24

Rule of 9s For adults?

Answer 24

9% heads
Front 18%
BAck 18%
Arms: 9%, 5(
Legs: 18%, 18%
GRoin: 1%

Question 25

Rule of 9s for kids?

Answer 25

18% head
Front back: 18%, 18%
Legs: 14%, 14%
Arms: 9%, 9%

Question 26

fluids in Kids need what?

Answer 26

Dextrose needed For maintenance. Prevent Hypoglycaemia

Question 27

Analgesia for burns kids?

Answer 27

Usu. IV opiods

Question 28

3 views for trauma X-rays?

Answer 28

Lateral c-spine
CXR
Pelvis

Question 29

Blood tests for trauma burns?

Answer 29

Trauma bloods: FBE, UEC, CMP, LFT

Temp
ECG
bHCG (I’m obliged to do this)

Question 30

What tubes?

Answer 30

Gastric decompression

Question 31

Secondary survey? What is AMPLE history?

Answer 31

Allergies
Meds
PMHx - health issues
Last ate - Sx or aspiration risk
Event that happened

Question 32

Secondary survey is?

Answer 32

Head to Toe examination

Tetanus status
Would care: cling film
Reassess primary survey

Question 33

How to refer?

Answer 33

ANZBA referral criteria

Question 34

Things to think about?

Answer 34

Non-accidental injury?