burns

Question 1

how to assess the extent of a burn

Answer 1

wallace rule of nines
- head + neck = 9%
- each arm= 9%
- each anterior leg= 9%
- each posterior leg= 9%
- anterior chest= 9%
- posterior chest= 9%
- anterior abdomen= 9%
- posterior abdomen= 9%

Question 2

presentation of superficial epidermal burn

Answer 2

red and painful
dry
no blisters

Question 3

presentation of partial thickness burn

Answer 3

pale pink, painful, blistered
slow capillary refill

Question 4

presentation of partial thickness (deep dermal) burn

Answer 4

typically white but may have patches of non-blanching erythema
reduced sensation
painful to deep pressure

Question 5

presentation of full thickness burn

Answer 5

white/ brown / black in colour no blisters, no pain

Question 6

initial management of severe burns

Answer 6

airway assessed:
- smoke inhalation causes oedema- early intubation
IV fluids for children with burn > 10% and adults > 15%
urinary catheter
analgesia

Question 7

haematuria after extensive burns

Answer 7

curling’s ulcers
acute gastric ulcers develop in response to severe physiological stress