Week 12 Flashcards
1
Q
Burn patients are trauma patients
A
Major burns affect all body systems – burn patients are trauma patients
2
Q
•Burn survivability increased as a result of
A
- Burn survivability increased as a result of
- Broad spectrum antibiotics, burn centers, aggressive nutrition and excision and improved wound care treatment
- The very young & the very old are less able to respond to therapy and have higher incidence of mortality
- 3rd leading cause of death in children ages 1 – 9 years
- 6th leading cause in the rest of the population
- Management of a seriously burned patient in first few hours can significantly affect long-term outcome
3
Q
Function of skin
A
X
4
Q
Primary survey
A
X
5
Q
A B C D E F
A
X
6
Q
- Major burns affect all body systems – burn patients are trauma patients
- Burn survivability increased as a result of
- Broad spectrum antibiotics, burn centers, aggressive nutrition and excision and improved wound care treatment
- The very young & the very old are less able to respond to therapy and have higher incidence of mortality
- 3rd leading cause of death in children ages 1 – 9 years
- 6th leading cause in the rest of the population
- Management of a seriously burned patient in first few hours can significantly affect long-term outcome
A
X
7
Q
- Burns have a devastating effect on people in terms of human life, suffering, disability and financial loss
- Most burns are preventable accidents, thermal burns being most common, from:
- Fires from motor vehicle accidents, in-home accidents, arson or electrical malfunctions
- > 50% decline in burns over past 20 years
- 2.5 million → 1 million
- 500,000 ED visits / year
- 40,000 hospitalizations
- ~ 20,000 burn treatment centers
- Average burn is 10% of total body surface area (TBSA)
A
X
8
Q
TBSA
A
Secondary survey Circumstances Estimating Total Body Surface Area (TBSA) •Lund Browder Scale •Rule of Nines •Rule of Palm
9
Q
Function of Normal Skin •Protects from assault •Including chemical, mechanical injury •Bacterial & viral pathogens •Ultraviolet radiation •Prevents excessive loss of fluid & electrolytes to maintain homeostasis •Regulation of body temperature •Sensory contact with environment
A
X
10
Q
Case study
A
X
11
Q
Rule of Nines
A
Rule of Nines
Front half
Bilah ant arms
12
Q
Lund-Browder Scale
A
Lund-Browder Scale
First 24 hours
13
Q
Rule of Palm
A
Rule of Palm
Used on smaller burns
PT hand=1% TBSA
14
Q
Burn depth classification
A
Temp
Time
Exposed
15
Q
Depth of injury
A
1
2
3rd
Thickness
16
Q
Superficial 1rst degree
A
Sunburn
17
Q
2nd degree
A
Partial thickness
Painful
Nerve endings exposed
18
Q
Deep partial thickness
A
Decreased sensation
19
Q
Diff
Partial and full
A
Deep
Not blanch able