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Burns Lecture Review_2022

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