Thermal Injury

Question 1

Which degree burn extends to dermis (deep or partial thickness)?

Answer 1

2nd Degree

Question 2

Which degree is skin grafting required?

Answer 2

3rd and 4th

Question 3

Describe “Rule of Nines”:

Answer 3

9% each arm
9% Head
9% front of each leg
9% back of each leg
18% front torso
18% back torso

Question 4

What is different about the Rule of Nines for infants?

Answer 4

Head is 18% instead of 9%.

Legs are 14% instead of 18%

Question 5

In what age group is thermal injury the 2nd leading cause of death?

Answer 5

1-4 years

Question 6

During what time following a thermal injury is succinylcholine contraindicated?

Answer 6

After 24hrs from burn and within 1 year after time of injury

Question 7

T/F: High dose ND NMBA are contraindicated in the thermal injury patient?

Answer 7

False; may have increased requirement up to 2-3 fold

Question 8

How does 100% FiO2 treat CO poisoning?

Answer 8

Decreases CO half life from 4 hrs to 40 mins

Question 9

What is most profound during the resuscitative phase of a thermal injury?

Answer 9

Hypovolemic Shock:

greatest in 1st 12 hours and begins to stabilize after 24 hours

Question 10

What are the three mechanisms by which a thermal injury patient becomes hypovolemic?

Answer 10

1. Direct transudation of plasma from wound
2. Plasma loss from diffuse capillary leakage
3. Fluid shift from intravascular to interstitium