Burns - Paeds Flashcards Preview

Jason's MD3 Paeds > Burns - Paeds > Flashcards

Flashcards in Burns - Paeds Deck (34):
1

Airway paeds burns, when to intubate?


-reduced conscious state
-inhalation/airway injury
-?need for transport?

2

What to do if have circumferential chest burn?

restricting ventilation?
maybe escharotomy to decompress

3

how to deal with Breathing in paeds burns?

expose chest
ventilation

4

Airway need to consider also?

Cervical spine control

5

How to assess Airway in child?

Are they crying?

6

Difference between strider vs. wheeze?

Stridor: inhale
Wheeze: exhale

7

How to help airway maneuvers?

Jaw thrust
Chin lift

8

Airway devices that can be inserted?

-Gadel/Orgo-pharyngeal airway - use tongue depressor and don't twist

-Naso-pharyngeal device
-endotracheal

9

Breathing need to consider?

Supplemental O2 maxed.

Circumferential chest burn?

10

Circulation needs to consider?

Haemorrhage control

Pulses, CRT
IV access

Circumferential limb burn?

11

BP in kids?

Not really useful

Shouldn't be too low.

12

How to test capillary return in burns?

Elevate limb above heart
Then press mail bed for 5 seconds

Returns in less than 2 seconds

Check ALL 4 LIMBS

13

How to treat limb burn?

Always elevate

14

Disability looks at?

Neurological (AVPU)

Pupils: size, symmetry

Look for:
Head injury?
Systemic intoxication
Need for intubate: P in the poo

15

Exposure ?

Environmental control

16

What things to control in the environment?

Clothing, jewelry, front, The BACK!!!

Warm room, blanket
Cover wound
Baer hugger

17

2 Depth of burns?

Superficial
Deep

18

Epidermal burns counts?

Nope

19

Depth of burns?

Epidermal
Superficial dermal
Mid dermal
Deep dermal
Full thickness

20

First aid for burns? How long? What to use? What not to use?

20 minutes at least
Cold running water only
Or cold water compress

NO ICE.

21

Burn wound assesssment look at?

Depth
Circumferential?
%TBSA

22

Escharotomy need to be done how?

In anatomical position always

23

How to calculate TBSA?

Rule of 9s
Palmar method: 1%-1.5% of patient's hand

Lund & Browder chart

24

Rule of 9s For adults?

9% heads
Front 18%
BAck 18%
Arms: 9%, 5(
Legs: 18%, 18%
GRoin: 1%

25

Rule of 9s for kids?

18% head
Front back: 18%, 18%
Legs: 14%, 14%
Arms: 9%, 9%

26

fluids in Kids need what?

Dextrose needed For maintenance. Prevent Hypoglycaemia

27

Analgesia for burns kids?

Usu. IV opiods

28

3 views for trauma X-rays?

Lateral c-spine
CXR
Pelvis

29

Blood tests for trauma burns?

Trauma bloods: FBE, UEC, CMP, LFT

Temp
ECG
bHCG (I'm obliged to do this)

30

What tubes?

Gastric decompression

31

Secondary survey? What is AMPLE history?

Allergies
Meds
PMHx - health issues
Last ate - Sx or aspiration risk
Event that happened

32

Secondary survey is?

Head to Toe examination

Tetanus status
Would care: cling film
Reassess primary survey

33

How to refer?

ANZBA referral criteria

34

Things to think about?

Non-accidental injury?