Plastics And Burns

Question 1

What TBSA can cause shock in adults and in kids

Answer 1

10% in kids
15-20% in adults

Question 2

Give 3 methods of measuring TBSA, explained and benefits

Answer 2

Wallace rule of nines- limb surface is 9% and torso surface is 18%
Lund browder chart good for kids
Palmer surface rule of 1%
Mersey care app

Question 3

What %TBSA needs burns unit

Answer 3

40% needs burn unit
100% need burn centre

Question 4

What are the formulas used for burn IV resus

Answer 4

Parklands uses crystalloid (Hartman’s)- needs weight and TBSA
Muir and Barclay - uses a colloid and needs weight and TBSA

Question 5

Types of nec fasc

Answer 5

Type 1- polymicrobial with anaerobes and aerobes (staph aureus). Seen in those with comorbidities
Type 2- monomicrobiral with strep pyogenes (A)
More common in healthy with history of trauma
Gas gangrene- caused by clostridium perfiningens

Question 6

Risk factors for nec fasc

Answer 6

Diabetes
CKD
Age
Malnuritition
Cancer
Immunocomprimised

Question 7

What is the risk scoring for nec fasc

Answer 7

Laboratory risk indicator for nec fasc : LRINEC

Question 8

When is escharotomy used

Answer 8

Circumferential full thickness wounds to maintain perfusion to limbs