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Flashcards in Burns Deck (9)
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0

Describe a Superficial-Thickness Burn

-Injury to epidermis
-Mild to severe erythema but no blisters
-skin blanches with pressure
-painful, tingling sensation, eased with cooling
-healing occurs in 3-6days
-no scarring occurs

1

Describe a Superficial Partial-Thickness Burn

-injury into the dermis, blood supply is reduced
-large blisters
-edema present
-mottled pink to red base & broken epidermis, w/wet,shiny, and weeping surface
-painful and sensitive to cold air
-heals in 10-21 days
-no scarring
-may require grafting

2

Describe a Deep Partial-Thickness Burn

-extends deep into skin dermis
-usually no blisters
-wound surface is red and dry with white areas in deeper parts
-edema present and may or may not blanch
-watch for ischemia, infection, or hypoxia: can convert to full thickness burns

3

Describe a Full-Thickness Burn

-Injury and destruction of epidermis and dermis
-grafting may be required
-dry, hard, leathery eschar
-appears waxy white, deep red, yellow, brown, or black & a dry surface appearance
-sensation reduced or absent
-Healing may take weeks to months
-requires removal of eschar and split or full skin grafting
-scarring and wound contractures are likely

4

Describe a Deep Full-Thickness Burn

-injury extends beyond the skin into the underlying fascia and tissues, and muscle, bone & tendons
-appears black & sensation is completely absent
-eschar is hard and inelastic
-no pain cause nerve endings are destroyed
-healing takes months and grafts are required

5

Most common airway injury

Carbon Monoxide Poisoning

6

What does carbon monoxide bind to in replace of Oxygen?

Hemoglobin

7

Name the signs and symptoms of Carbon Monoxide poisoning and the treatment

Facial burns
Erythema
Swelling of oropharynx and nasopharynx
Singed nasal hairs
Flaring nostrils
Strider, wheezing, Dyspnea
Hoarse voice
Sooty sputum or cough
Tachycardia
Agitation or Anxiety

Treatment: 100% Oxygen

8

What is the rule of nines for estimating burn percentage?

Head & Neck 9%

Trunk 18% posterior and 18% anterior

Each Arm 9%

Each Leg 18%

Genital 1%