Module 16- Burn Injury and Rehabilitation Flashcards
Explain the 3 layers of skin
- epidermis
-provides protection - dermis
-2 layers with fibroblast - subcutaneous layer
-adipose and connective tissue
what skin layer is involved in superficial 1st degree burn
epidermis
what skin layer is involved in partial thickness 2nd degree burns
- superficial partial (papillary)
- deep partial (reticular)
epidermis and dermis
what skin layer is involved in full thickness 3rd degree burns
epidermis, dermis, subcutaneous layers
what burn is this:
-dry, no blisters, blanches with pressure
-red, bright pink
-painful
-epidermis damage
superficial thickness 1st degree- think sunburn
is 1st degree superficial burns included in TBSA %
no
how long do superficial thickness burns take to heal?
3-7 days
what burn is this
-blistered, weeping
-bright red
-very painful
-epidermis and papillary dermis
superficial partial thickness
how long do superficial partial thickness take to heal
7-21 days heal on their own
what burn is this:
-pseudoeschar (white)
-molted white to pink
-blanches indicates healing
-no pain
-epidermis, papillary and reticular dermis
deep partial thickness
how long do deep partial thickness burns take to heal?
21-35 days if they heal on their own
can convert to full thickness
what burn is this:
-dry, leathery, charred
-mixed white, waxy, pearly,
-no pain, hair pulls out easily
-epidermis, dermis to subcutaneous beyond
full thickness
how long to full thickness burns take to heal
wont heal on their own need skin grafting
what is the lund and browder and what does it measure
most accurate method of determining total body surface area burnt
does not include superficial burns
what is the rule of 9s
body divided into 11 segments of 9% and 1% for perineum and 1% for palms of hand
most common from hot liquids
common in children and elderly
pattern: downward with splash marks- accident
circumferential- abuse
scald
road rash usually from mva, bike, motorcycle
friction
contact points may be small but internal damage is much more severe
electrical
how do you treat a chemical burn?
massive dilution- continuous showering for a prolonged period after the injury
What is type of skin condition
-progresses quickly
-red, warm, swollen area
-severe pain
-fever
necrotizing fasciitis
bacterial infection - usually strep A
what should be administered ASAP in a frostbite situation
t-PA
what is a escharotomy
used to maintain perfusion to the limb
how can PT help with joint positioning with individuals with burns
maintain ROM of joints
position of contracture to prevent position of contracture
offload bony prominences
avoid pressure on or overstretching nerves
when can you start AROM and PROm after allografting
24 hours
