Critical Care: Burns/ESI

Question 1

What is an example of a level 5 ESI?

Answer 1

Sports physical, prescription refill, crutches, splints, etc

Question 2

What is an example of a level 1 ESI?

Answer 2

Flail chest, MI, severe burns

Question 3

What is an example of a level 2 ESI?

Answer 3

Anaphylactic shock, gun shot wound/stabbing, suicidal, immunocompromised, woman in labor

Question 4

What is an example of a level 3 ESI?

Answer 4

Stomach pains, ankle sprains

Question 5

List signs/indications of a burn injury

Answer 5

Notice- Burns on face/neck/torso, singed nose or head hairs, soot on nose/mouth, black sputum, bright red lips, curlings ulcer, increased HR

Question 6

What are interventions/actions you would do for a burn patient?

Answer 6

Actions- Monitor airway, determine need for intubation, admin warmed IV fluids (2 IV sites: LR + albumin), determine adventitious lung sounds, increase HOB, maintain warm environment, monitor pain, encourage turning + deep breaths, monitor I&O, labs, ECG, ABG’s

Question 7

What is done during the primary survey?

Answer 7

A-Airway/Stabilize cervical spine
B-Breathing
C-Circulation
D-Disability
E-Exposure
**IF excessive bleeding, C before AB!

Question 8

What is done during the secondary survey?

Answer 8

Head to toe assesment
Identify other injuries/issues
Needs: NG tube? Suction? Prepare for dx?

Question 9

What is the Parkland Formula for fluid resuscitation?

Answer 9

4mL x TBSA x weight (kg)

**Half given in 1st 8 hours, second half given over remaining 16 hours

Question 10

What are the priority problems in burn patients with more than 25% TBSA?

Answer 10

Potential for decreased oxygenation
Potential for shock
Pain (acute and chronic)
Potential for Acute Respiratory Distress Syndrome
(ARDS)

Question 11

What is an example of a level 4 ESI?

Answer 11

Throat culture, Urine analysis