Guidelines Flashcards
1
Q
Burns referral
A
Any burn over 2-3% TBSA
2
Q
Tetanus prone wound
A
Puncture wound (contaminated) FB Compound fracture Wound/burn with sepsis Farm Animal bites (routing in soil)
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
4
Q
Tetanus booster
A
Tetanus prone wound and
- less than 3 tetanus vaccine (4m)
- last vaccine >10 year ago
5
Q
Burns when to start fluid resuscitation
A
Hypotension
Adult burns >15%
Child burns >10%
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
7
Q
Define frequent attender
A
5 or more ED attendances per year
8
Q
Identifying frequent attendees
A
Data trawl
Flagged by staff