Burns

Question 1

Wallace’s Rule of nines of assessing EXTENT of burn

Answer 1

Head + neck
Arm
Anterior leg
Posterior Leg
Anterior chest
Posterior chest 
Anterior abdo
Posterior abdo

Question 2

Most accurate way of assessing extent of burn

Answer 2

Lund and Browder chart

Question 3

Method of estimating burns less than 15%

Answer 3

1 palm = 1%

Question 4

First degree burn aka

Answer 4

superficial epidermal burn

Question 5

Second degree burn aka

Answer 5

partial thickness (superficial dermis)
partial thickness (deep dermis)

Question 6

Third degree burn aka

Answer 6

full thickness burn

Question 7

Superficial epidermal burn sx

Answer 7

Red

Painful

Question 8

Superficial dermis burn

Answer 8

Pale pink
Painful
Blistered

Question 9

Deep dermis burn

Answer 9

White +/- patches of non-blanching red

Reduced sensation

Question 10

Full thickness burn

Answer 10

White/brown/black in colour
Blisters
Pain

Question 11

First aid for burns

Answer 11

Within 20mins, irrigate with water for 10-30 mins

Layered cling film (vs wrapped around)

Question 12

Superficial epidermal mx

Answer 12

symptomatic relief - analgesia, emollients etc

Question 13

Superficial dermal mx

Answer 13

• cleanse wound
• leave blister intact
• non-adherent dressing,
• avoid topical creams,
• review in 24 hours

Question 14

When to refer to hospital for mx

Answer 14

• Deep dermal or full
• Superficial with specific criteria
• Electrical or chemical burn injury
• Inhalation

Question 15

Superficial burn that needs to be referred to hospital

Answer 15

if >3 % in adults, >2% children 
if on
- face
- hands/feet, 
- perineum, genitalia, 
- flexure surface
- circumferential burns of the limbs, torso, or neck

Question 16

When to give IV fluids in children

Answer 16

> 10% total body surface (TBS)

Question 17

When to give IV fluids in adults

Answer 17

> 15 TBS

Question 18

How much fluid to give in burns

Answer 18

Parkland formula

Question 19

Parkland formula

Answer 19

TBS x weight (Kg) x4

Question 20

Escharotomy

Answer 20

Circumferential burn

Division band of burn tissue

Question 21

Other treatments for burns

Answer 21

Skin grafting

Excision and closure (high risk of infection)

Question 22

Abx prophylaxis for burns

Answer 22

no evidence