Schwartz

Question 1

4 crucial assessments of burn patients

Answer 1

Airway, other injuries, burn size, CO and cyanide poisoning

Question 2

Potentially lethal effect of direct thermal injury to the upper airway or smoke inhalation

Answer 2

Airway edema

Question 3

Signs of impending respiratory compromise in burn patients

Answer 3

Hoarseness, wheezing, stridor

(“the HWS of lungs”)

Other signs but not an indication: perioral burns and singed nasal

Question 4

At what TBSA do you usually don’t consider IV resuscitation?

Answer 4

Less than 15%

Question 5

Common prehospital complication resulting to resuscitation failure

Answer 5

Hypothermia

Question 6

Effects of prophylactic antibiotics in acute burn injuries?

Answer 6

Promote fungal infections and resistant organisms

Question 7

TBSA for referral to a burn center

Answer 7

Partial thickness greater than 10% TBSA

Question 8

Used a quick referance for estimating patient’s burn size

Answer 8

Rule of nines

Question 9

Should not be included when calculating burn size

Answer 9

Superficial burns

Question 10

Three burn classifications

Answer 10

Thermal, Electrical, Chemical

(Thermal: flame, contact, scald)

Question 11

Special concerns related to electrical burns?

Answer 11

Cardiac arrhythmia and compartment syndrome

Question 12

Acid chemical burns result in?

Answer 12

Coagulation necrosis

Question 13

Alkali chemical burns cause?

Answer 13

Liquefactive necrosis

Question 14

Hydrofluoric acid causes?

Answer 14

Hypocalcemia

(Calcium based therapies are mainstay of treating hydrfluoric acid burns)

Question 15

Most severely burned portion and typically in the center of the wound?

Answer 15

Zone of coagulation

Question 16

Zone of burn injury with variable degrees of vasoconstriction and resultant ischemia?

Answer 16

Zone of stasis

Question 17

Zone of burn which will heal with minimal or no scarring

Answer 17

Zone of hyperremia

(Mostly partial thickness or 1st degree burn)

Question 18

Burn wounds evolve over the __ to __ hours after injury

Answer 18

48 to 72 hours

Question 19

One of the most effective ways to determine burn depth is __?

Answer 19

Full thickness biopsy

(Painful, scarring, specialized pathologist dapat)

Question 20

Other modalities to predict burn depth include _ and _?

Answer 20

Laser doppler and noncontact ultrasound

(Laser doppler: sensi 83%, speci 97%)
(Noncontact US: painless modality for nonhealing wound)

SERIAL EXAMINATION BY BURN SURGEONS PA RIN ANG BEST

Question 21

Used to predict mortality in burn patients

Answer 21

Baux score

Question 22

Most robust indicators for burn mortality

Answer 22

Age, burn size, inhalation injury
(ABI Baux)

Question 23

Target MAP for critically ill burn patients?

Answer 23

60

Question 24

TBSA for referral to a burn patient

Answer 24

More than 10% TBSA partial thickness burns

Question 25

Most important component of initial therapy. (2)

Answer 25

• Careful removal of the toxic substance
• Irrigation of the affected area with water for a minimum of 30 minutes

Question 26

Formula of Baux Score

Answer 26

Mortality risk = Age + %TBSA
* but no longer accurate

Question 27

Goal for UO in resuscitation among adults and pediatrics?

Answer 27

30ml/hr (adults)
1 to 1.5 mg/kg/hr (pedia)