S1L2: Assessment Flashcards
Which statement/s refer to the criteria for admission?
- Partial and full thickness burn > 20% TBSA in pt. under 10
& over 50 (children & elderly) - Partial & Full thickness burn >5% of TBSA in other age
groups - Full thickness > 10% TBSA in any age group
None. There should be:
Partial and full thickness burn > 10% TBSA in pt. under 10 & over 50 (children & elderly)
Partial & Full thickness burn >20% of TBSA in other age groups
Full thickness > 5% TBSA in any age group
Which statement/s refer to the criteria for admission?
- Partial & full thickness burns involving the hand, feet, face,
perineum, or skin overlying minor joints - Electrical burns & lightning injuries
- Chemical burns
- Patient with inhalation injury
2-4 ONLY.
Partial & full thickness burns involving the hand, feet, face,
perineum, or skin overlying MAJOR joints
● Divides the body into areas of 9%
● More practical in the emergent of triage of a pt with an
acute burn injury
TOTAL BODY SURFACE AREA (TBSA)
TBSA
Head =
Torso front =
torso back =
TBSA
Head = 9
Torso front = 18
torso back = 18
TBSA
Arms front =
Arms back =
legs front =
legs back =
TBSA
Arms front = 4.5
Arms back = 4.5
legs front = 9
legs back = 9
Used better for more thorough assessment while the other one
is for quick assessments
MODIFIED LUND AND BROWDER METHOD
T/F: Modified lund and browder method divides the body into much smaller areas & gives you sizes that are associated with differently aged patients
True
T/F: Modified lung and browder method modify the percentages of body surface area to account
for a continuum age and to accommodate for growth of
different body segments
True
Which is more accurate, TBSA or Modified lung and browder method? Why?
Modified lung and browder method. gives
% depending on the age of pt
Identify if minor, moderate or major
Partial thickness burn
None
Identify if minor, moderate or major
SUSPECTED Inhalation injury
Moderate
Identify if minor, moderate or major
KNOWN Inhalation injury
Major
Identify if minor, moderate or major
Electrical burn
MAJOR
Identify if minor, moderate or major
Burn injury in eyes,
ears, face,
perineum, hands
MAJOR
Modified T/F:
A. comorbid factors & premorbid illness that are FX or TRAUMA, it is classified as MINOR
B. predisposing pt to infection such as DM or SCD, are classified as MAJOR
FF
A - Major
B - Moderate
Identify if minor, moderate or major
Children & Elderly <10% TBSA
Minor
Identify if minor, moderate or major
Children & Elderly 20% TBSA
Moderate
Identify if minor, moderate or major
Children & Elderly >20% TBSA
Major
Identify if minor, moderate or major
Adult <15% TBSA
Minor
Identify if minor, moderate or major
Adult 15-25% TBSA
Moderate
Identify if minor, moderate or major
Adult >25% TBSA
Major
Identify if minor, moderate or major
Full thickness burn 2% not involving the EEHFP
Minor
Identify if minor, moderate or major
Full thickness burn 2-10%, except EEHFP, electrical or inhalation
Moderate
Identify if minor, moderate or major
Full thickness burn >10%, except
EEHFP, electrical or inhalation
Major
Modified T/F: Complications of Burns
A. Pulmonary complications include carbon monoxide
poisoning, tracheal damage, upper airway obstruction,
pulmonary edema, pneumonia
B. It is the leading cause of mortality
TF
B. Infection is the leading cause of mortality
Give 2 common bacteria that affects open wounds
Pseudomonas Aeruginosa
Staphylococcus Aureus
Modified T/F: Complications of Burns
A. Severe burns where there are hemodynamic changes from
the loss/shifting of fluids
B. 10% decrease in cardiac output within the first hour after
injury
TF
B - 15% decrease in cardiac output within the first hour after
injury
Modified T/F: Complications of Burns
A. Thermal injuries cause a great metabolic and catabolic
change to the body
B. Rapid increase in body weight and increase in energy stores are vital to the healing process
TF
B - Rapid decrease in body weight and decrease in energy
stores that are vital to the healing process
If individuals with burns are placed in a normal ambient temperature, excessive heat loss will be exhibited, therefore there is increase in stress response. What is the recommended room temperature to reduce the metabolic rate?
30°C
Modified T/F: Complications of burns
A. Heterotrophic ossification occurs in areas of partial thickness burns or sites that remain unhealed for a prolonged period of time
B. The most common joint affected is the hip
FF
A - full thickness
B - Elbow
T/F: Heterotrophic ossification suspected etiologies includes Immobilization, microtrauma, low protein intake, sepsis
False - Suspected etiologies: Immobilization, microtrauma, high
protein intake, sepsis
Happens when compression bandages applied to tight, poorly fitted
splints, inappropriate positioning
Neuropathy
Superficial nerves that can get impinged when wearing splint (3)
Brachial plexus, ulnar, common peroneal
Refers to
● Deep partial thickness burns allowed to heal
● Full thickness burns that have been skin grafted
PATHOLOGICAL SCAR
Wound healing: Inflammatory, proliferative or maturation
- Ratio of collagen breakdown to production determines the type of scar that forms
- Wound contraction
- Fibroblast formation
- Characterized by redness, edema, warmth, pain, and decreased ROM d/t pain
- Re-epithelialization is occurring at the surface of the wound, while deep within the wound, fibroblasts are migrating and proliferating
- M
- P
- P
- I
- P
Modified T/F: In maturation phase
A. If collagen production is equal or greater than collagen breakdown, there will be hypertrophic scar
B. If collagen production is less than collagen breakdown, there will be a pale flat and pliable scar
FF
A - pale flat and pliable scar
B - hypertrophic scar
Types of Burn scars
Characterized by extremely tight skin that can restrict your ability to move.
Contracture Scars
Types of Burn Scars
Can appear as a firm, rubbery lesion or shiny, fibrous nodules
Keloid scars
Types of Burn Scars
Excessive collagen deposits. Appear raised, but not to the
degree observed with keloids
Hypertrophic scars
T/F: On histological examination, keloid scar tends to have regularly patterned collagen
False - hypertrophic scars
T/F: Hypertrophic scars are contained in the site of injury and ,may regress over time
True
Keloid scars come out on the usual []
wound bed
Modified T/F: Contracture Scars
A. Abnormal and happens when a large array of skin is damaged resulting in a scar formation where the edges of
the skin are pulled together causing a tight area.
b. If too tight surgical intervention may be needed for release. Downside: need to heal again after the session
TT
