Burns

Question 1

Classify burns according to depth

Answer 1

-Epidermis
-Superficial dermis
-deep dermis
-Full thickness

Question 2

Which burns are painful?

Answer 2

-Epidermis
-superficial dermis

(Deep dermis is less painful and full thickness is painless)

Question 3

Which burns heal with scar?

Answer 3

-deep dermis
-full thickness
(And both heal after more than 2 weeks)

Question 4

How are burns classified according to surface area?

Answer 4

By the rule of nine

Question 5

When to transfer patient to hospital?

Answer 5

-Surface area >5% in children and 10% in adults
-Type of burn: full thickness, circumferential, deep
-Cause of burn: Electric, chemical
-Site of burn: face and perineum

Question 6

When to give patient fluids?

Answer 6

> 10% in children and >15% in adult

Question 7

What is the type of fluid given in a burn patient? And how to measure it?

Answer 7

Hartman solution.
Measured by the parkland formula
In adults (2 x wt. x surface area)
And in children (3 x wt. x surface area)

Divided into 2 halves ( one in 1st 8h and one in the next 16h)

Question 8

How to follow up on the Hartman infusion?

Answer 8

By CVP measurement and urinary catheter
(Adult 0.5ml/kg/h, children 1ml/kg/h)

Question 9

What are the complications of burns?

Answer 9

-Acute gastric dilatation
-Curling ulcer
-Most dangerous (sepsis)
-Most urgent (circumferential burn)
-Facial burn (causing laryngeal edema)
-Graft infection
-Lower limb edema

Question 10

What are the most affected organs by electrical burns?

Answer 10

-Heart
-Kidney
-Muscles