Burn
Assessment
Assessment
What quick method estimates small burns using the patients hand?
Rule of Palms (patient's palm = approximately 1%)
What should always be removed early in burn patients to prevent constriction?
Clothing and jewelry
Before irrigating a dry chemical burn, what should you do first?
Brush off the chemical
What Drug are we going to use for volume replacement?
Normal Saline
Which Takes priority: airway or Burns
Airway
How much of an adult's body does one leg entire leg represent?
18%
For Burns less than 20%, what is our treatment?
Wet Dressings (cool the Burn)
How long should chemical eye burns be irrigated?
What is the biggest concern for burn patients?
Airway
Which Takes priority: trauma or burns?
Trauma
How much of the body does the adult torso represent?
36%
After cooling burns less than 20% BSA, what dressing should be applied?
Dry, clean, non-adherent dressing
Should Tar be removed from the skin in the field?
No
What systolic blood pressure is required before giving fentanyl?
90 or greater systolic
Second-Degree Burns involving what percentage of BSA require contacting BH?
Greater than 30%
in an infant, what body part accounts for 18%?
The Head
Why should burns greater than 20% BSA not receive prolonged cooling?
To prevent Hypothermia
What type of dressing is recommended for tar burns?
petroleum gauze
100 mcg
Third Degree burns involving what percentage of BSA require contacting a BH?
Greater than 10%
A patient has Burns to the entire right arm and the entire head. what is the estimated percentage of the Burns?
18%
A patient has 35% BSA burns. Should you cool the burns with wet dressings?
No
Apply dry, clean, non-adherent dressings
Name two important concerns with electrical burns
-spinal injuries
-Cardiac injury/arrhythmias
-Hidden internal tissue damage
-Associated Trauma
What are the two doses for ketamine dosing options for burn pain?
IV=0.3mg/kg over 5 minutes
IN=0.5mg/kg
Name four burns that require contacting a BH regardless of size?
Face, Hands, Feet, Genitals, Major joints, Circumferential Burns, Burns with significant pre existing medical conditions