Under your Skin
This tough, fibrous protein found in skin, hair, and nails helps protect against physical and chemical damage.
What is keratin?
This type of burn involves only the epidermis and is characterized by redness and pain without blistering.
What is a first-degree burn?
This percentage of total body surface area burned in adults is often used as a threshold for fluid resuscitation with the Parkland formula.
What is greater than 15%?
This is the reason why patients are prone to infx post-burn.
What is the skin’s protective barrier is lost?
To the PPT
Physical therapy and splinting are key in long-term care to prevent this disability from scar tissue.
What are contractures?
This is the outermost layer of the epidermis, made of dead, keratinized cells that form a tough protective barrier.
What is the stratum corneum?
Electrical and chemical burns are often more severe than they appear at the surface because they may cause hidden damage to these two deep tissues.
What are muscle and bone?
In children, burns covering just this percentage of total body surface area may require aggressive fluid replacement.
What is greater than 10%?
The skin loses elasticity after deep burns, because this name for the scar tissue that grows and thickens over burn wounds.
What are keloids?
Severe burns can have lasting psychological effects, commonly including this stress-related mental health disorder.
What is post-traumatic stress disorder (PTSD)?
This deepest skin layer, also called the hypodermis, anchors skin to underlying tissues and contains adipose for insulation.
What is the subcutaneous layer?
This most severe burn destroys the full thickness of the skin and may extend into subcutaneous tissue; the area may appear white, charred, or leathery.
What is a third-degree (full-thickness) burn?
In the Parkland formula, the recommended initial fluid is this.
What is LRs.
To the PPT
Burns to the eye most commonly damage this structure of the eye.
What is the cornea?
Long-term nutritional support is critical because burn patients often remain in this metabolic state for months after injury.
What is a hypermetabolic state?
To the PPT
This boundary between the epidermis and dermis is wavy, helping anchor the two layers and increase surface area for exchange.
What is the dermal-epidermal junction (or basement membrane zone)?
This type of burn affects both the epidermis and part of the dermis, often producing blisters and severe pain.
What is a second-degree (partial-thickness) burn?
According to the Parkland formula, half of the calculated fluid volume should be given within this time frame from the burn injury.
What is 8hrs?
To reduce infection risk, burn wounds are often treated with this topical antimicrobial cream containing silver.
What is silver sulfadiazine?
This is the difference between autologous and homologous and xenograft.
What is
1. from the pt themself
2. from a human donor
3. from another species of animal
Stretch marks, or striae, result when collagen fibers are torn in this layer of the dermis.
What is the reticular layer?
A patient comes in with burns on the entire anterior chest, entire anterior arm, and half of the upper back, this is the TBSA burned.
What is 22.5%
To the PPT
The most reliable bedside indicator of adequate fluid resuscitation in burn patients is this measurement.
What is urinary output?
This other complications is seen in patients infected with Acinetobacter baumannii.
What is ventilator-associated pneumonia?
The pt was intubated...
Skin grafts and artificial skin substitutes may be needed long-term to improve this crucial function of the skin.
What is barrier protection / preventing infection?
and how do we do this?