Pedi Burns

Question 0

ALS Box 1

Initiate ________________ in pt with major burns ( >____% with Normal Saline. Administer _________ NS fluid bolus if pt hypotensive for age. Priority for IV access is as follows:

Answer 0

Large bore IV 
9% 
20ml/kg
Unburned upper extremity EJ
unburned lower extremity 
Burned upper 
Burned lower 
IO if hypotensive

Question 1

ALS Box 2

Answer 1

Monitor ECG and SpO2

Question 2

If partial or _______ thickness burn with _____pain and without evidence or mechanism of ______,_____, or ______ injury.

Consider administration of opiate pain medication per Pediatric Pain Management policy

Answer 2

Full
severe
Internal head, chest, or abdominal injury

Question 3

BLS

Remove pt from source of the burn. Remove _____ or _______ clothing

Answer 3

burning

smoldering

Question 4

BLS

Inhalation injury is of prime importance access for:
a.
b.
c.
d

Answer 4

a. Burns around face, neck and chest
b. Singed nasal hairs
c. soot around nose and mouth
d. Chemicals in air or a result of the fire

Question 5

Caustic and Chemical Burns

_____ source of burn. Remove all clothing. ______ with copious amounts of water. Do not _______. Wear protective clothing and gloves. (Sterile water or normal saline if available is preferable for small burns, but any available source of tap water may be used for extensive burns.

Answer 5

Remove
Flush
Scrub

Question 6

_______ dressing to burned area: burns may be covered with dry ________ dressings.

Answer 6

Sterile

Question 7

Transport:

Any pt with the following shall be tx to UCDMC Burn Center 
1)
2)
3)
4)

Answer 7

1) Partial thickness >9% of body surface
2) Any electrical or any chemical burn
3) Evidence of possible inhalation injury
4) Any burn to the face, hands, feet, genitalia, perineum or major joints.

Question 8

Do not apply _____ or ______ to the burned area

Answer 8

Ice

Creams

Question 9

Pedi Rule of 9’s

Answer 9

Palms or hands 1%
Arms 9%
Head and neck 18%
Anterior trunk 18%
Posterior trunk 18% 
Leg 14%