Adult Burn Management

Question 1

Adult Burn Management - Initial actions

Answer 1

Cool burn
Remove clothing and jewelry
BSA > 10% - dry dressing
BSA < 10% - cool moist dressing
Consider IRP

Question 2

Adult Burn Management - Do not attempt to cool burn after how long has passed?

Answer 2

30 minutes

Question 3

Adult Burn Management - Should dry chemicals be flushed with water?

Answer 3

No, unless they are in the eyes. Water can worsen the burn

Question 4

Adult Burn Management - Removed wet dressings from burns > what % to prevent what?

Answer 4

BSA > 10% to prevent hypothermia

Question 5

Adult Burn Management - 2nd or 3rd degree burns greater than 10% BSA Tx?

Answer 5

500 ml NS to maintain normotension. Max 3L

Question 6

Adult Burn Management - Critical burn criteria? (6)

Answer 6

2nd or 3rd degree >20% BSA
Any full thickness burn >5% BSA
Any partial or full thickness burn to the face, neck, hands, perineum, involving a major joint or feet
Any burn with potential airway involvement
Any high voltage electrical burn
Non residential chemical Burns

Question 7

Adult Burn Management - How long to irrigate eyes?

Answer 7

At least 15 minutes. 30 if substance is known to be an alkali

Question 8

Adult Burn Management - Decision to intubate in an impending airway burn should be made on? (4)

Answer 8

Decreased LOC
Rapid onset of severe dyspnea unresponsive to treatment
Rapid progression of airway edema
Patient in extremis displaying signs of respiratory collapse