Cutaneous

Question 1

Superficial Burn

Answer 1

Epidermal burn

Painful, red
Blanches with pressure

Heals in 3-6 days

Question 2

Superficial partial-thickness burn

Answer 2

Shallow dermal burn

Blisters
Moist, red weeping
Blanches with pressure

Painful to temperature, air, touch

Question 3

Deep partial thickness

Answer 3

Deeper into dermis

Blisters
Wet or dry
Patchy, white or red

Sluggish blanching

Painful to pressure only

Question 4

Full thickness

Answer 4

Through dermis, down to sub-q fat

White to charred black
Dry
No blanching

Painful only to deep pressure

Question 5

Deeper injury

Answer 5

Extends to fascia and/or muscle

Painful to deep pressure only

Question 6

Burn characteristics of aLkalie chemicals

Answer 6

Liquifactive necrosis (deep)

Question 7

Examples of aLkaline chemicals

Answer 7

Lye
Oven cleaner
Bleach
Drain cleaner
Ammonia

Adult drug use is risk for caustic ingestion = METH

Question 8

aCidic chemical burn characteristics

Answer 8

Coagulation necrosis = cell ischemia

Question 9

Exampls of aCidic burn chemicals

Answer 9

Car batteries
Toilet bowl cleaners
Rust removal (phosphoric acid)

Question 10

Characterists of eleCtriCal burns

Answer 10

deep Coagulation necrosis, prone to late aterial hemorrhage

Can see myoglobuinuria and cardiac conduction problems

Question 11

Characteristics of microwave burns

Answer 11

Uneven with deep water containing tissues more affected than superficial fatty layers

Question 12

Burn center criteria

Answer 12

Second (partial thickness) and third (full thickness) degree burns covering 10% TBSA for those less than 10 years old

> 20% TBSA for all age groups

Question 13

The “palm method” for TBSA

Answer 13

Palm (NOT including fingers) = 0.5% TBSA

Question 14

TBSA differences by age (body parts)

Answer 14

Young kids:
Head larger TBSA percentage

Legs lower TBSA

Arms and torso the same percentage as older kids/adults