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Burns Lecture Review_2019

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