Guidelines Flashcards

1
Q

Burns referral

A

Any burn over 2-3% TBSA

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2
Q

Tetanus prone wound

A
Puncture wound (contaminated)
FB
Compound fracture 
Wound/burn with sepsis
Farm Animal bites (routing in soil)
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3
Q

High risk tetanus prone wound

Dx and Tx

A

Tetanus prone wound plus

  • heavy contamination
  • Extensive devitalisation
  • delayed surgical intervention for wound

Tx: tetanus Ig

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4
Q

Tetanus booster

A

Tetanus prone wound and

  • less than 3 tetanus vaccine (4m)
  • last vaccine >10 year ago
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5
Q

Burns when to start fluid resuscitation

A

Hypotension
Adult burns >15%
Child burns >10%

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6
Q

Modified Parkland formula

A

2ml/kg x TBSA (%)
Paeds 3ml/kg x TBSA
Electrical burns 4ml/kg
Half over 8h other half over 16h
Adjust to urine output 0.5ml/kg/hr

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7
Q

Define frequent attender

A

5 or more ED attendances per year

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8
Q

Identifying frequent attendees

A

Data trawl
Flagged by staff

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