TNCC ACTUAL SCRIPT WITH 100
PERCENT CORRECT ANSWERS
◉ Wet, waxy, red to pale skin that does not blanch, multiple
sisters. What degree burn?
Answer: Second degree; deep partial thickness
◉ Waxy white to leathery gray to charred skin that is dry and firm
with absent hair, no blanching. What degree burn?
Answer: Third degree; full thickness
◉ Burn extends into the fascia and/or muscle. What degree burn?
Answer: Fourth degree; full thickness
◉ Zones of burn injury (3)
Answer: Zone of coagulation
Zone of stasis
Zone of hyperemia
◉ What syndrome occurs most often in burns greater than 20%
BSA and lasts for approximately 6-12 hours?
Answer: Capillary Leak Syndrome
, ◉ Fluid replacement goals/calculation
Answer: 2mL/kg LR x TBSA% (give 1/2 over first 8 hours (minus
transport time) and 1/2 over next 16 hours)
◉ Urine Output goals for fluid replacement therapy
Answer: 0.5 mL/kg (30-50mL/hr)
◉ Disaster Definition
Answer: A sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human,
material, and economic losses that exceed the community's or
society's ability to cope using its own resources.
◉ Mitigation
Answer: A foundation to limit the potential impact of a disaster
◉ Triage colors and meanings:
Answer: Green - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
◉ When should the decision to transfer be made?
Answer: When the patient's needs outweigh the capabilities of
your facility
PERCENT CORRECT ANSWERS
◉ Wet, waxy, red to pale skin that does not blanch, multiple
sisters. What degree burn?
Answer: Second degree; deep partial thickness
◉ Waxy white to leathery gray to charred skin that is dry and firm
with absent hair, no blanching. What degree burn?
Answer: Third degree; full thickness
◉ Burn extends into the fascia and/or muscle. What degree burn?
Answer: Fourth degree; full thickness
◉ Zones of burn injury (3)
Answer: Zone of coagulation
Zone of stasis
Zone of hyperemia
◉ What syndrome occurs most often in burns greater than 20%
BSA and lasts for approximately 6-12 hours?
Answer: Capillary Leak Syndrome
, ◉ Fluid replacement goals/calculation
Answer: 2mL/kg LR x TBSA% (give 1/2 over first 8 hours (minus
transport time) and 1/2 over next 16 hours)
◉ Urine Output goals for fluid replacement therapy
Answer: 0.5 mL/kg (30-50mL/hr)
◉ Disaster Definition
Answer: A sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human,
material, and economic losses that exceed the community's or
society's ability to cope using its own resources.
◉ Mitigation
Answer: A foundation to limit the potential impact of a disaster
◉ Triage colors and meanings:
Answer: Green - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
◉ When should the decision to transfer be made?
Answer: When the patient's needs outweigh the capabilities of
your facility
