Week 4

Question 0

According to the American burn Association (2013) ____________fire/burn/smoke inhalation deaths per year

Answer 0

3,400

Question 1

According to the American Burn Association (2013) ____________individuals received medical treatment for burns.

Answer 1

450,000

Question 2

According to the American burn Association (2013) ____________hospitalizations due to burns

Answer 2

40,000

Question 3

According to the American burn Association (2013) _____________at hospital burn centers

Answer 3

30,000

Question 4

What is the survivor rate for burns?

Answer 4

96.6%

Question 5

96.6% survival rate _______% males vs. ______females

Answer 5

69% males

31% females

Question 6

What percentage of hospital burn admission is caused by fire/flames?

Answer 6

43%

Question 7

What percentage of hospital burn admission are do to scald / bowling water?

Answer 7

34%

Question 8

What percentage of hospital burn admissions are due to contact burns?

Answer 8

9%

Question 9

What percentage of hospital burn admission is due to electrical burns?

Answer 9

4%

Question 10

What percentage of hospital burn admission are due to chemical burns?

Answer 10

3%

Question 11

72% of burns occurs in the?

Answer 11

Home

Question 12

What percentage of burns occur at the work place?

Answer 12

9% are occupational

Question 13

5% of burns occur in the?

Answer 13

Street/highway

Question 14

What percentage of burns occur in other places?

Answer 14

9%

Question 15

What percentages of burns occur in recreational places?

Answer 15

5%

Question 16

What is the BSA?

Answer 16

Body surface area is the reference term used when describing the percentage of the body has been burned

Question 17

If an individuals BSA of a burn is greater than 15% (adult) or 10% (child),the patient will require what?

Answer 17

Will require hospitalization for IV fluid resuscitation

Question 18

The rule of nine for BSA estimate for the head and neck is what percentage?

Answer 18

9%

Question 19

The rule of nine for BSA estimate for each upper limb is what percentage?

Answer 19

9%

Question 20

The rule of nine for BSA estimate for each lower limb is what percentage?

Answer 20

18%
Anterior 9%
Posterior 9%

Question 21

The rule of nine for BSA estimate for the torso is what percentage?

Answer 21

36%
Anterior 18%
Posterior 18%

Question 22

The rule of nine for BSA estimate for the perineum is what percentage?

Answer 22

1%

Question 23

What are the classifications and degrees of burns?

Answer 23

1st degree
2nd degree
3rd degree
4th degree

Question 24

Superficial involvement and redness of skin without blisters is what degree of burn

Answer 24

1st degree burns

Question 25

How are 1st degree burns treated?

Answer 25

Treated primarily for comfort with local analgesics and pain medications Usually heal within one week

Question 26

"Partial thickness burns" blisters may or may not be trimmed is what degree of burn?

Answer 26

2nd Degree Burns

Question 27

Some_____ degree burns may need excision of damaged skin followed by grafting

Answer 27

2nd degree burns

Question 28

How should 2nd degree burns treated?

Answer 28

ForeArm should be splinted in functional position (if possible) to prevent later stiffness Open, raw surfAces should be cleaned with frequent dressing changes - topical antibiotics performed until wounds are healed

Question 29

Wound healing for 2nd degree burns occur within __________weeks

Answer 29

2-3 weeks

Question 30

"Full Thickness Burns" dead skin will need to be removed and replaced with skin grafts s what degree of burn?

Answer 30

3rd degree burns

Question 31

How are 3rd Degree burns treated?

Answer 31

Most surgeons remove the skin as soon as possible and graft immediately Orthotic treatment begins and is continued until the wounds are healed and then mobilization will begin Escharotomy

Question 32

An escharotomy is indicated if?

Answer 32

A burns that is full circumference can sometimes constrict blood flow Large amount of swelling is present or expected Inelastic burned skin

Question 33

What is a escharotomy?

Answer 33

Release rigid and inelastic burned skin to allow: Circulation Breathing (chest involvement)

Question 34

``` As in 3rd degree burns, but with added damage to deeper structures - tendons -muscles - joints - bones Is what degree of burn? ```

Answer 34

4th degree burns

Question 35

What are the classifications of hypertrophic scars?

Answer 35

Remain confined to border of original wound Arise in any location Regress with time Flatten spontaneously in time Appear within 1 month of the original wound

Question 36

What are the classifications of keloids?

Answer 36

``` Extends beyond border of original wound Commonly occurs on sternum, arms, cheeks, earlobes Thick collagen Remain elevated > 4 mm Appear 3 months or later Worsen with surgery ```

Question 37

What are the common issues with burn patients?

Answer 37

Itching Burns damage and or destroy the oil glands Many patient experience intense itching Moisturizer should only be applied to healed scars Pressure garments may decrease itching

Question 38

Custom pressure garments should be worn for how many hours a da?

Answer 38

23 hours a day | May not improve scar, but can decrease itching and protect the fragile skin from injury

Question 39

Silicone gel sheets?

Answer 39

Assist with decreasing itching and moisturizing skin | Can be worn alone, or under pressure garments, splints and or Orthosis