ATLS: THERMAL INJURIES QUESTIONS AND
ANSWERS
TheJmajorJprinciplesJofJthermalJinjuryJmanagementJincludeJmaintainingJaJhighJindexJofJsuspicionJforJtheJpre
senceJofJ__________JfollowingJsmokeJinhalationJandJsecondaryJtoJburnJedema;JidentifyingJandJmanagingJa
ssociatedJmechanicalJinjuries;JmaintainingJhemodynamicJnormalityJwithJvolumeJresuscitation;JcontrollingJt
emperature;JandJremovingJtheJpatientJfromJtheJin-JjuriousJenvironment.J-JcorrectJanswer-
airwayJcompromise
CliniciansJalsoJmustJtakeJmeasuresJtoJpreventJandJtreatJtheJpotentialJcom-
JplicationsJofJspecificJburnJinjuries.JExamplesJincludeJ________,JwhichJcanJbeJassociatedJwithJelectricalJbur
ns;JextremityJorJtruncalJcompartmentJsyndrome,JwhichJcanJoccurJwithJlargeJburnJresuscitations;JandJocularJi
njuriesJdueJtoJflamesJorJexplosions.J-JcorrectJanswer-rhabdomyolysisJandJcardiacJdysrhythmias
TheJmostJsignificantJdifferenceJbetweenJburnsJandJotherJinjuriesJisJthatJtheJconsequencesJofJburnJinjuryJareJd
irectlyJlinkedJtoJtheJ_________J-JcorrectJanswer-extentJofJtheJinflammatoryJresponseJtoJtheJinjury
AirwayJinjuryJinJburnsJmayJdevelopJoverJtimeJandJnotJbeJimmediatelyJpresentJcomparedJtoJotherJtrauma,Jthi
sJisJdueJtoJtheJprocessJofJ______J-JcorrectJanswer-edema
BurnJinjuryJhypovolemiaJisJdueJtoJtheJinflammatoryJchangesJandJ_____JleakJ-JcorrectJanswer-capillary
TheJgoalJofJburnJresuscitationJisJtoJmaintainJintravascularJfluidJinJtheJfaceJofJanJongoingJ________.JWhereas
JtheJotherJtraumaJstopsJtheJleakJandJfillsJvascularJspace.J-JcorrectJanswer-leak
AreJburnJinjuriesJdirtyJorJclean?J-JcorrectJanswer-CleanJ(theJheatJkilledJtheJbacteria)
StridorJoccursJlateJandJindicatesJtheJneedJforJ_____J-JcorrectJanswer-immediateJintubation
TransferJpatientJtoJburnJcenterJwithJinhalationJinjuryJbutJfirstJ-JcorrectJanswer-intubateJtheJpatient
EarlyJintubationJisJindicatedJforJfullJthicknessJcircumferentialJ____JburnsJ-JcorrectJanswer-neck
ANSWERS
TheJmajorJprinciplesJofJthermalJinjuryJmanagementJincludeJmaintainingJaJhighJindexJofJsuspicionJforJtheJpre
senceJofJ__________JfollowingJsmokeJinhalationJandJsecondaryJtoJburnJedema;JidentifyingJandJmanagingJa
ssociatedJmechanicalJinjuries;JmaintainingJhemodynamicJnormalityJwithJvolumeJresuscitation;JcontrollingJt
emperature;JandJremovingJtheJpatientJfromJtheJin-JjuriousJenvironment.J-JcorrectJanswer-
airwayJcompromise
CliniciansJalsoJmustJtakeJmeasuresJtoJpreventJandJtreatJtheJpotentialJcom-
JplicationsJofJspecificJburnJinjuries.JExamplesJincludeJ________,JwhichJcanJbeJassociatedJwithJelectricalJbur
ns;JextremityJorJtruncalJcompartmentJsyndrome,JwhichJcanJoccurJwithJlargeJburnJresuscitations;JandJocularJi
njuriesJdueJtoJflamesJorJexplosions.J-JcorrectJanswer-rhabdomyolysisJandJcardiacJdysrhythmias
TheJmostJsignificantJdifferenceJbetweenJburnsJandJotherJinjuriesJisJthatJtheJconsequencesJofJburnJinjuryJareJd
irectlyJlinkedJtoJtheJ_________J-JcorrectJanswer-extentJofJtheJinflammatoryJresponseJtoJtheJinjury
AirwayJinjuryJinJburnsJmayJdevelopJoverJtimeJandJnotJbeJimmediatelyJpresentJcomparedJtoJotherJtrauma,Jthi
sJisJdueJtoJtheJprocessJofJ______J-JcorrectJanswer-edema
BurnJinjuryJhypovolemiaJisJdueJtoJtheJinflammatoryJchangesJandJ_____JleakJ-JcorrectJanswer-capillary
TheJgoalJofJburnJresuscitationJisJtoJmaintainJintravascularJfluidJinJtheJfaceJofJanJongoingJ________.JWhereas
JtheJotherJtraumaJstopsJtheJleakJandJfillsJvascularJspace.J-JcorrectJanswer-leak
AreJburnJinjuriesJdirtyJorJclean?J-JcorrectJanswer-CleanJ(theJheatJkilledJtheJbacteria)
StridorJoccursJlateJandJindicatesJtheJneedJforJ_____J-JcorrectJanswer-immediateJintubation
TransferJpatientJtoJburnJcenterJwithJinhalationJinjuryJbutJfirstJ-JcorrectJanswer-intubateJtheJpatient
EarlyJintubationJisJindicatedJforJfullJthicknessJcircumferentialJ____JburnsJ-JcorrectJanswer-neck