Burn patient IMC

Question 1

Burn patient IMC

Classification:
Superficial -
Partial thickness -
Full thickness -

Answer 1

Classifcation:
Superficial - red, painful, epidermis
Partial thickness - superficial: blisters, painful
deep: white, may scar or not heal
Full thickness - stiff, white/tan, insensate

Question 2

Burn patient IMC

Rule of 9’s:

Answer 2

Rule of 9’s: only partial and full thickness estimated
18% - front, back, legs
9% - head, arms
1% - perineal, palm of hand

Question 3

Burn patient IMC

Inhalational Injury:

Answer 3

Inhalational Injury:
facial burn, nasal hairs, etc- low sen/sp
consider CO, MetHb, CN poisoning esp if indoors

Question 4

Burn patient IMC

Fluid Resus:
Parkland -
Mod Brooke-

Answer 4

Fluid Resus: Parkland - LR 3mlkg% BSA (1/2 in rst 8h, rest in 16hr)
Mod Brooke- LR 2mlkg% BSA (3mlkg%BSA in children)
Estimate TBSA to nearest 10% X10 =initial fluids per hour- for every 10 kg above 80 kg add 100cc
↑ needs in inhalational, electrical, etc
Just an initial guideline

Question 5

Burn patient IMC

Escharotomy :

Answer 5

Escharotomy :
med/lat surfaces of arms/legs;
mid ax of chest/across below costal margin and below clavicles

Question 6

Burn patient IMC

Burn Center Criteria:

Answer 6

Burn Center Criteria:
>20% adults, >10% kids/elderly
>5% full thickness
Face/eyes/hand/feet/genital/perineum burns
Electrical (incl lightning), chemical burns
Inhalation injury
Circumferential Full thickness to chest or extremity
Concern for pt with preexist dz
No hospital capability for child burn

Question 7

Burn patient IMC

Tx:

Answer 7

Tx:
1% silver sulfadiazine (not on face or sulfa allergy)
Bacitracin for face
Cover burns with sterile dressings
Tetanus
Analgesia