Chapter 16 The burned of scalded child

Question 1

What are the indicators of inhalation injury?

Answer 1

History of exposure to smoke in a confined space
Deposits around the mouth and nose
Carbonaceous sputum

Question 2

How long does it take for hypovolaemia for burns to develop?

Answer 2

A few hours.
Hypovolaemia in the acute phase should prompt you to look for a source of bleeding

Question 3

When providing IV fluids for burns care (e.g parklands formula) is this in top of or including their maintenance fluid?

Answer 3

On top of maintenance

Question 4

What is the modified parklands formula?

Answer 4

% burn x weight (kg) x 3 = total fluid over 24 hour period
Administer half in first 8 hours
Though after 8 hours use urine output to guide 1-2ml/kg/hr

Question 5

At what % of carboxyhaemoglobin (COHb) should you conisider hyperbaric oxygen chamber treatment?

Answer 5

20%
5-20% can be treated with supplemental O2

Question 6

What is a clue to cyanide poisoning?

Answer 6

Coma
Severe metabolic acidosis without clear cause

Question 7

What infection are children susceptible to developing post even small burns?

Answer 7

Toxic shock syndrome
(fever, rash, vomiting, diarrhoea, a few days post burn)