December 3, 2015 - SG - Burns

Question 1

Initial Management of a Major Burn

Answer 1

Remove clothing

Follow ATLS protocol

Question 2

Parkland Formula

Answer 2

Uses Ringer’s lactate

Fluid = 4cc x kg x %TBSA burn

1/2 in first 8 hours, then 1/2 in remaining 16

Question 3

Urine Output Target

Answer 3

Using a Foley catheter, you are aiming for between 0.5 and 1.0 cc/kg/hour

If you are getting more, you need to adjust the fluid dosage

Question 4

Burn Rehabilitation

Answer 4

Management of skin

Exercise and daily activities (regaining range of motion and strength)

Mental fitness (acceptance of scars etc.)