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Burns Lecture

Across
Anterior trunk 18%, posterior lower extremity 9%
Prevent with early postoperative immobilization for graft protection
Zone of hyperemia
5 Ps + Poikilothermia
MC, topical agent, misses pseudomonas
Full thickness burn
Large bore IVs if >40%TBSA
Epidermis only, painful, erythema
Commonly used in fluid resuscitation of patients with moderate to severe burns
Pronounced appearance, extend beyond wound margin
MC type of burn in young children; burns commonly associated with hot water
Suspicious burns in cases of abuse or in questionable history
Down
Goal 30mL in adults
To treat full-thickness (third-degree) circumferential burns; removal of tough leathery tissue
Zone of Coagulation
Prophylactic antibiotics, treat known infections (i.e. UTI)
1/2 of of total solution given over initial 8 hours with remainder given over 16, 4mL/kG x %TBSA x weight in kg
With Tetatnus if undocumented or unsure
Atrial fibrillation, compartment syndrome, rhabdomyolysis
>20% TBSA 2nd degree burn
More accurate method of determining %TBSA
MCC of hospital admissions with burns, associated with structural fires and inhalation injury/CO posioning
Degree of burn treated with STSG when possible