Burns

Question 1

Most common cause of burn

Answer 1

flame burn - thermal burn

Question 2

What are jackson’s three zones of tissue injury following a burn

Answer 2

1. zone of coagulation - necrosis (needs excision and grafting)
2. zone of stasis - questionable viability
3. zone of hyperemia - heals with minimal or no scarring

Question 3

What degree of burns are not included in calculating %TBSA

Answer 3

superficial (first degree) burns

Question 4

What does cyanide poisoning inhibit

Answer 4

cytochrome oxidase which in turn inhibit cellular oxygenation

Question 5

what is the treatment of cyanide poisoning

Answer 5

1. sodium thiosulfate 2. hydroxycobalamin 3. 100% oxygen

Question 6

what is tha parkland formula

Answer 6

4 mg/kg x %TBSA

Question 7

how do you give the parkland formula

Answer 7

1/2 of total fluid for first 8 hours 1/2 of total fluid for the next 16 hours

Question 8

Target of fluid resuscitation in burn victims

Answer 8

1. MAP = 60 mmHg 2. UO = 30 cc/hr or 1 - 1.5 cc/kg/hr

Question 9

Children under 20 kg should be given additional treatmen in burn

Answer 9

glucose supplementation

Question 10

What is the side effect of silver sulfadiazine

Answer 10

neutropenia

Question 11

Formic acid burns are associated with

Answer 11

chemical burn hemoglobinuria and hemoylsis