Causes, healing
1st Degree (superficial Burn )
MC cause, healing
MC cause: UV light
5 - 10 days, no scarring
1st Degree (superficial burn)
Epidermis only
Major Burns TBSA classification
> 25% TBSA in adult
>20%TBSA in young/old
sensation is intact in which types of burns?
1st degree (superficial)
2nd degree (superficial partial )
The Parkland Formula
4mL/kg/TBSA%
4th Degree (full thickness burn) Healing
(length of time, scarring?, re-epitheliazes? grafting?, debridement?)
requires debridement /amputation
does not re-epithelialize
cannot graft
4th degree (full thickness burn)
injury to underlying tissues (fat/muscle/bone)
Minor Burn TBSA Classification
< 15% TBSA adults
<10% TBSA in young/old
Treatment of Inhalation, airway burn
inhaled heparin and n-acetlylcystein
Tx for facial burns
Bacitracin
Superficial Partial Thickness Burn (2nd Degree)
MC cause, healing
MC cause: hot liquids
healing: 7-20 days , re-epithelializes
2nd degree (Superficial partial thickness)
Epidermis/papillary dermis
significant burns to face/joints/hands/feet
Major Burn
Wallace Rule of 9's
9% estimated body surface area for burns are associated with which anatomic locations?
left arm (4.5% on each side)
right arm (4.5% on each side)
head
chest
abd
Inhalation Burn signs
Singed Nasal Hairs/eyelashes
Hoarseness
Soot in Nares/sputum
carbonaceous staining of oropharynx
3rd degree (deep partial thickness)
MC cause, healing length
Mc cause: flame, steam, hot oil
heals: >21 days
3rd Degree (deep partial thickness)
Epidermis, dermis
Moderate Burns TBSA Classification
15-20% TBSA adult
10-15% TBSA in the young/old
If the "naughty bits" are burned, Wallace Rule of 9's would classify the estimated body surface area % to be_____
1%
Pertinent Resource for this Jeopardy
Channel your inner 12 year old
oops sorry your inner...20 year old!
Leathery White Appearance is characteristic of which burn type?
3rd degree (deep partial)
4th degree (full thickness burns)
burns down to the muscle, fascia, bone
blisters
simple-partial, deep partial(2nd degree)
Wallace Rule of 9's
the estimated body surface area % of a back burn is _______
18%
Feather Lesions
Lightning Burn