Test Taking Tips
Count on using the Parkland formula to calculate the volume of fluids that you need to give to your burn patient. Don't forget that the start time of volume resuscitation is at time of burn, not at time of arrival to the hospital.
Review topical antimicrobials such as silver nitrate or sulfamylon and their side effects and what they have best coverage for.
What are the 5 different causal categories for burns?
Flame: damage from superheated, oxidized air
Scald: damage from contact with hot liquids
Contact: damage from contact with hot or cold solid materials
Chemical: contact with noxious chemicals
Electrical: conduction of electrical current through tissues
What is a 1st-degree burn?
What is a superficial 2nd-degree burn?
What is a deep 2nd-degree burn?
What is a 3rd-degree burn?
What is a 4th-degree burn?
Identify the depth of the burn:
A painful, erythematous burn with an intact epidermal barrier that blanches to the touch?
Painful burn with blebs and blisters; hair follicles intact; blanches to the touch?
Superficial 2nd degree
Sensation decreased; loss of hair follicles?
Deep 2nd degree
Leathery feeling, no sensation?
Illustration of the zones of injury after burn. Factors likely to affect the zone of stasis determine the extension of injury from the original zone of coagulation. (Reproduced from Felliciano DV, Mattox, Moore EE. Trauma. 6th ed. http://www.accesssurgery.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
What are the 3 zones of injury from a burn?
Define the zone of coagulation:
Define the zone of stasis: