frostbite is aka
Frostbite
red flag burn that needs referral to burn center
more than 10%, burn on face, hands, feet, joints, perineum, genitalia, electrical burn
should you use cold water for burn?
NO!!! just cool water for minor burns. not ice water
should you cover your burn?
yes, it improve healing rates…. but not for superficial birns
should you use silver sulfadiazine for burns
NO!!! due to poorer healing outcomes. it slows down healing
use Lidocaine in burns??
it may cause contact dermatitis. use NSAIDS or acetaminophen or opiods; for neuropathic pain use duloxetine or gabapentin…
main cause of sun burn and immunosuppression and skin cancer
5% UVB (though UVA penetrates deeper, makes sunburn worse, photaging)
10+ UV index, how long to burn
5 min (but 0-2 UV index= 60 min)
diuretics that cause photox
furosemide…
minimum sunscreen- broad spectrum (uva and uvb)
spf >=30
preferred type of sunscreen for agents of choice in pediatrics
inorganic sunscreen
topical analgesic for sunburn
pramoxine 1%
can soothe burn
calamine lotion and colloidal oatmeal