Peds - Burns Flashcards
Burns are the #1 cause of non-motor vehicle deaths in children ages ______ and the #2 cause of death in children ages _____.
1-4
4-14
scald injuries represent ____% of all burn injuries in children with highest incidence occurring in toddlers
40-50%
Children at _____ age have increased risk of death independent of burn size.
<4 yoa.
____ is the most important predictor of mortality in childhood burns
inhalation injury
____ are used with goal of contracture prevention
positioning splints - generally initiated at first indication of skin tightening.
____ and ____ may be helpful modalities for scar prevention/therapy
fluidotherapy & paraffin - heat tolerance must be assessed.
In ultrasounding for burn therapy of scar tissue, must avoid overexposure to prevent ____
premature closure of the epiphyseal plates
In the acute phase of burn injuries, a childs neck should be placed in _____ position
cervical hyperextension - to prevent neck flexion contracture. No pillows should be used when the patient is lying down.
_____ is the prime location for decubiti to occur acutely in children with neck burns
occiput.
Of all burn contractures ____ is most commonly involved and is the hardest to treat
axilla contractures
Regarding axilla burns, the most successfully used device in an active patient is the _____
airplane splint
During acute phase of hand and foot burns, ____ should be performed to maintain average spaces
wrapping separately to maintain average spaces
splinting is universally used to maintain ROM and preserve function.
Correct splint position for dorsal hand burn
MCP flexion 70 - 90 degrees, IP extension, radial abduction of the thumb
Correct splint position for volar hand burn
MCP/IP full extension, fingers abducted, palmar abduction of the thumb
correct splint position for dorsal foot burn
ankle and toes plantar flexion
