Flashcards in Burns Deck (48)
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1
Q
What are 20-25% of burns?
A
work related
2
Q
What are 20-25% of burns?
A
work related
3
Q
What are the different types of burns?
A
scald, contact, fire, chemical, electrical, radiation
4
Q
What causes scalds?
A
hot liquids, grease, steam, spill or immersion
5
Q
What causes contact burns?
A
stove
6
Q
What causes fire burns?
A
flash and glame
7
Q
What are chemical burns?
A
acid or base
8
Q
What are electrical burns?
A
household or lightening
9
Q
Who has the highest incidence of burns?
A
10
Q
What type of burns do younger kids get?
A
contact and scalds
11
Q
Who gets serious burns?
A
males 20-29 yo
children
children
12
Q
What percentage of burn pt in hospital die?
A
5%
13
Q
What happens in structural fires?
A
half die from asphyxiation
14
Q
What is an example of first degree burn?
A
sunburn
15
Q
How does a first degree burn present?
A
epidermal, painful, blanches, erythematous
16
Q
How does second degree burns present?
A
superficial dermal, painful, blisters present, erythematous, weeping
17
Q
How does third degree burns present?
A
full thickness, insensate, does not blanch, hard/lethery, black eschar, will contract and slowly reepithelialize
18
Q
How does forth degree burns present?
A
deep organ involved, insensate, does not blanche, involves bone, fat or muscle, extensively sustained burns
19
Q
How do you determine severity of burns?
A
degree of heat, length of time, conductivity of skin, heat transfer, heat capacity of burn agent
20
Q
What is a red flag you need to think about with burns?
A
abuse
21
Q
What is the treatment for burns?
A
airway, fluid and pain management
22
Q
What do you need to do before placing dressing?
A
clean with saline
23
Q
What do you put on superficial burns?
A
frequent change
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
24
Q
What are the extreme burn tx?
A
surgical debridement, escharotomy, skin grafts, referral to burn unit
25
Q
What is the burn center referral criteria?
A
Pt with burns and associated trauma
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
26
Q
What are the different types of burns?
A
scald, contact, fire, chemical, electrical, radiation
27
Q
What causes scalds?
A
hot liquids, grease, steam, spill or immersion
28
Q
What causes contact burns?
A
stove
29
Q
What causes fire burns?
A
flash and glame
30
Q
What are chemical burns?
A
acid or base
31
Q
What are electrical burns?
A
household or lightening
32
Q
Who has the highest incidence of burns?
A
33
Q
What type of burns do younger kids get?
A
contact and scalds
34
Q
Who gets serious burns?
A
males 20-29 yo
children
children
35
Q
What percentage of burn pt in hospital die?
A
5%
36
Q
What happens in structural fires?
A
half die from asphyxiation
37
Q
What is an example of first degree burn?
A
sunburn
38
Q
How does a first degree burn present?
A
epidermal, painful, blanches, erythematous
39
Q
How does second degree burns present?
A
superficial dermal, painful, blisters present, erythematous, weeping
40
Q
How does third degree burns present?
A
full thickness, insensate, does not blanch, hard/lethery, black eschar, will contract and slowly reepithelialize
41
Q
How does forth degree burns present?
A
deep organ involved, insensate, does not blanche, involves bone, fat or muscle, extensively sustained burns
42
Q
How do you determine severity of burns?
A
degree of heat, length of time, conductivity of skin, heat transfer, heat capacity of burn agent
43
Q
What is a red flag you need to think about with burns?
A
abuse
44
Q
What is the treatment for burns?
A
airway, fluid and pain management
45
Q
What do you need to do before placing dressing?
A
clean with saline
46
Q
What do you put on superficial burns?
A
frequent change
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
silver sulfadiazine (silvadene)
Bactracin
Mupirocin
47
Q
What are the extreme burn tx?
A
surgical debridement, escharotomy, skin grafts, referral to burn unit
48
Q
What is the burn center referral criteria?
A
Pt with burns and associated trauma
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
Children with burns at hospital without personal to care for children
Pt with preexisting conditions that could complicate management
Burns involving face, hands,feet genitalia, perineum, or major joints
Chemical burns
Electrical burns
Inhalation injury
Partial-thickness burns on > 10% of TBSA
3rd degree burns in any age group
