Burns/Thermal Injuries

Burn Center Transfer

100

This percentage of partial-thickness burns requires transfer to a burn center.

>10% TBSA

200

Burns to these specific body areas always require transfer due to functional and cosmetic importance.

Face, hands, feet, genitalia, perineum, or major joints

300

This burn depth automatically qualifies a patient for burn center transfer.

Full thickness (third-degree) burns?

400

These two types of burns always require transfer regardless of size.

Electrical burns and chemical burns?

500

This combination injury (burn + another condition) is an automatic reason for transfer.

Burns with trauma (e.g., fractures)?

Initial ED Tx

100

This is something you should NEVER apply to burns.

Ice

200

This common household item is recommended to cover burns in the ED.

Saran wrap

300

This type of IV access is recommended and can even be placed through burned skin.

Large-bore peripheral IV access

400

This is avoided in burn resuscitation due to risk of worsening edema.

Fluid bolus

500

For facial burns, this positioning helps reduce swelling and airway compromise.

Elevating head of bed to 90 degrees

Fluid Resuscitation

100

This IV fluid is used for burn resuscitation.

Lactated Ringer's (LR)

200

This formula determines initial fluid resuscitation in burn patients.

Parkland formula

300

This is the correct formula: __ mL/kg/% TBSA over 24 hours.

2 mL/kg/% TBSA

400

This fraction of fluids is given in the first 8 hours.

One-half (1/2)

500

This is the target adult urine output for adequate resuscitation.

30-50 mL/hr

Burn Classification

100

This burn only affects the epidermis and heals in a few days.

Superficial (first-degree) burn?

200

These features describe a partial-thickness burn.

Pain, blisters, moist appearance, and capillary refill

300

This type of burn is typically painless due to nerve destruction.

Full-thickness (third-degree) burn?

400

This procedure is needed for circumferential burns causing ischemia.

Escharotomy

500

This zone in Jackson’s burn model contains ischemic but potentially salvageable tissue.

Zone of stasis

Special Burns

100

This gas is a major cause of morbidity in inhalation injuries.

Carbon monoxide

200

This test should be obtained for patients in closed-space fires.

Carboxyhemoglobin level (ABG with CO)

300

This is the initial treatment for suspected inhalation injury.

100% FiO2 oxygen

400

These are NOT recommended in inhalation injury treatment.

Steroids/abx

500

This is the most important first step in treating chemical burns.

Copius irrigation w/ water