ATLS MODULE 9 THERMAL INJURIES
1. ASSESSMENT: PATIENT HISTORY
Answer: Associated injuries from escaping fire
Explosions (Possible internal injuries, fractures?)Time of injury
Enclosed space (Possible inhalation injury)LOC?
Pre-existing illnesses, drug therapy, allergies, tetanus status.
Match burn pattern to history and consider abuse if they don't match.
2. Rule of 9's
Answer: Calculations for assessing percentage of body surface burned.
3. Superficial burn
Answer:
-Erythema
-Pain
-No Blisters
-No fluid replacement necessary
4. superficial partial thickness burn
Answer:
-Moist
-Painfully hypersensitive
-Possible blisters
-Pink
-Blanches to touch
5. deep partial thickness burn
Answer:
-Dry
-Not painful
-Possible blisters
-Red/mottled
, -Does not blanch to touch
6. full thickness burn
Answer:
-Leathery appearance
-Translucent/waxy skin
-Painless
-Dry
7. Secondary survey of burn patients
Answer:
-Documentation
-Baseline trauma bloodwork including carboxyhemoglobin levels and xrays
-Mx of peripheral circulation in circumferential extremity burns
-gastric tube insertion
-narcotic analgesics and sedatives
-wound care
-tetanus immunization
8. Burn documentation should include
Answer:
-treatment rendered
-pictorial diagram of the burn area and depth
-amount of fluid given
-urinary output.
9. Baseline labs for burn patients
Answer:
-CBC
-Type and crossmatch/screen
-ABG with carboxyhemoglobin
-Glucose
-Electrolytes
-Pregnancy test
-CXR for those intubated or with suspected smoke inhalation injury.
10. When to insert g tube in burn patients
Answer: with nausea, vomiting, or abdominaldistention
1. ASSESSMENT: PATIENT HISTORY
Answer: Associated injuries from escaping fire
Explosions (Possible internal injuries, fractures?)Time of injury
Enclosed space (Possible inhalation injury)LOC?
Pre-existing illnesses, drug therapy, allergies, tetanus status.
Match burn pattern to history and consider abuse if they don't match.
2. Rule of 9's
Answer: Calculations for assessing percentage of body surface burned.
3. Superficial burn
Answer:
-Erythema
-Pain
-No Blisters
-No fluid replacement necessary
4. superficial partial thickness burn
Answer:
-Moist
-Painfully hypersensitive
-Possible blisters
-Pink
-Blanches to touch
5. deep partial thickness burn
Answer:
-Dry
-Not painful
-Possible blisters
-Red/mottled
, -Does not blanch to touch
6. full thickness burn
Answer:
-Leathery appearance
-Translucent/waxy skin
-Painless
-Dry
7. Secondary survey of burn patients
Answer:
-Documentation
-Baseline trauma bloodwork including carboxyhemoglobin levels and xrays
-Mx of peripheral circulation in circumferential extremity burns
-gastric tube insertion
-narcotic analgesics and sedatives
-wound care
-tetanus immunization
8. Burn documentation should include
Answer:
-treatment rendered
-pictorial diagram of the burn area and depth
-amount of fluid given
-urinary output.
9. Baseline labs for burn patients
Answer:
-CBC
-Type and crossmatch/screen
-ABG with carboxyhemoglobin
-Glucose
-Electrolytes
-Pregnancy test
-CXR for those intubated or with suspected smoke inhalation injury.
10. When to insert g tube in burn patients
Answer: with nausea, vomiting, or abdominaldistention
