Guidelines

Question 1

Burns referral

Answer 1

Any burn over 2-3% TBSA

Question 2

Tetanus prone wound

Answer 2

Puncture wound (contaminated)
FB
Compound fracture 
Wound/burn with sepsis
Farm Animal bites (routing in soil)

Question 3

High risk tetanus prone wound

Dx and Tx

Answer 3

Tetanus prone wound plus

• heavy contamination
• Extensive devitalisation
• delayed surgical intervention for wound

Tx: tetanus Ig

Question 4

Tetanus booster

Answer 4

Tetanus prone wound and

• less than 3 tetanus vaccine (4m)
• last vaccine >10 year ago

Question 5

Burns when to start fluid resuscitation

Answer 5

Hypotension
Adult burns >15%
Child burns >10%

Question 6

Modified Parkland formula

Answer 6

2ml/kg x TBSA (%)
Paeds 3ml/kg x TBSA
Electrical burns 4ml/kg
Half over 8h other half over 16h
Adjust to urine output 0.5ml/kg/hr

Question 7

Define frequent attender

Answer 7

5 or more ED attendances per year

Question 8

Identifying frequent attendees

Answer 8

Data trawl
Flagged by staff