Paediatric Burns Flashcards
1
Q
What are 7 signs of an airway burn?
A
- Evidence of burnt upper torso, neck, face
- Facial and upper airway oedema
- Sooty sputum
- Burns that occurred in an enclosed space
- Singed facial hair (Nasal hair, eyebrows, eyelashes, beards)
- Respiratory distress
- Hypoxia
2
Q
How long should burns cooling take place?
A
- 20minutes
3
Q
What temperature should water be to cool burns
A
- 5-15 degrees
- Running water
4
Q
What should be removed if a patient has burns?
A
- Rings
- Clothing
5
Q
What are the zones of a burn?
A
- Zone of coagulation
- Zone of stasis
- Zone of hyperemia
6
Q
What are the time critical trauma criteria?
A
- > 10% TBSA
- 1000 volt burns
7
Q
What burns need assessment by a major burns service?
A
- Hands
- Feet
- Genitalia
- Face
- Joints
- Circumfrential burns
8
Q
Who should be contacted for critical paediatric burns?
A
- AV medical advisor through the clinician
9
Q
What is the ALS management for paediatric burns?
A
- Pain relief
- Cool the burn (Warm the patient)
- Tx to appropriate facility
10
Q
What are the burn % of legs and face in a 1year old child
A
- 14(legs)
- 18 (head)
11
Q
What are the burn % of legs and face in a 10year old child
A
- 18 (legs)
- 9 (head)
12
Q
What are the care objectives for paediatric burns
A
- Identify and manage potential airway burns as a priority
- Minimise the impact of injury by maintaining tissue and organ perfusion, minimising pain, appropriate burn wound cooling and minimising heat loss during transfer to hospital
13
Q
What is the fluid volume administered to paediatric burns
A
3 x TBSA x Pt wt (KG)
