ATLS: Thermal Injuries
20. - ANS-Insert a gastric tube and attach it to a suction setup if the patient experiences
nausea, vomiting, or abdominal distention, or when a patient's burns involve more than
___% total BSA.
\2ml lactated ringer x patients body weight in kg x % TBSA
One half in first hour
One half over next 16 hours
then adjust based on UO - ANS-Initial Fluid rate for adults with 2nd and 3rd degree burns is:
\3ml lactated ringer x patients body weight in kg x % TBSA
One half in first hour
One half over next 16 hours
Under 30 kg give 5% dextrose in water
then adjust based on UO - ANS-Initial Fluid rate for adults with 2nd and 3rd degree burns is:
\40°C (104°F) - ANS-Replace constricting, damp clothing with warm blankets, and give the
patient hot fluids by mouth, if he or she is able to drink. Place the injured part in circulating
water at a constant ____F until pink color and perfusion return (usually within 20 to 30
minutes).
\8 - ANS-Alkali burns to the eye require continuous irrigation during the first ___ hours after
the burn
\airway compromise - ANS-The major principles of thermal injury management include
maintaining a high index of suspicion for the presence of __________ following smoke
inhalation and secondary to burn edema; identifying and managing associated mechanical
injuries; maintaining hemodynamic normality with volume resuscitation; controlling
temperature; and removing the patient from the in- jurious environment.
\capillary - ANS-Burn injury hypovolemia is due to the inflammatory changes and _____ leak
\carbon monoxide poisoning - ANS-Direct thermal injury to the lower airway is very rare and
essentially occurs only after exposure to superheated steam or ignition of inhaled flammable
gases. Breathing concerns arise from three general causes: hypoxia, __________, and
smoke inhalation injury.
\carboxyhemoglobin (HbCO) - ANS-The diagnosis of CO poisoning is made primarily from a
history of exposure and direct measurement of __________
\Clean (the heat killed the bacteria) - ANS-Are burn injuries dirty or clean?
\edema - ANS-Airway injury in burns may develop over time and not be immediately present
compared to other trauma, this is due to the process of ______
\extent of the inflammatory response to the injury - ANS-The most significant difference
between burns and other injuries is that the consequences of burn injury are directly linked
to the _________
\First - ANS-________-degree frostbite: Hyperemia and edema are present without skin
necrosis.
20. - ANS-Insert a gastric tube and attach it to a suction setup if the patient experiences
nausea, vomiting, or abdominal distention, or when a patient's burns involve more than
___% total BSA.
\2ml lactated ringer x patients body weight in kg x % TBSA
One half in first hour
One half over next 16 hours
then adjust based on UO - ANS-Initial Fluid rate for adults with 2nd and 3rd degree burns is:
\3ml lactated ringer x patients body weight in kg x % TBSA
One half in first hour
One half over next 16 hours
Under 30 kg give 5% dextrose in water
then adjust based on UO - ANS-Initial Fluid rate for adults with 2nd and 3rd degree burns is:
\40°C (104°F) - ANS-Replace constricting, damp clothing with warm blankets, and give the
patient hot fluids by mouth, if he or she is able to drink. Place the injured part in circulating
water at a constant ____F until pink color and perfusion return (usually within 20 to 30
minutes).
\8 - ANS-Alkali burns to the eye require continuous irrigation during the first ___ hours after
the burn
\airway compromise - ANS-The major principles of thermal injury management include
maintaining a high index of suspicion for the presence of __________ following smoke
inhalation and secondary to burn edema; identifying and managing associated mechanical
injuries; maintaining hemodynamic normality with volume resuscitation; controlling
temperature; and removing the patient from the in- jurious environment.
\capillary - ANS-Burn injury hypovolemia is due to the inflammatory changes and _____ leak
\carbon monoxide poisoning - ANS-Direct thermal injury to the lower airway is very rare and
essentially occurs only after exposure to superheated steam or ignition of inhaled flammable
gases. Breathing concerns arise from three general causes: hypoxia, __________, and
smoke inhalation injury.
\carboxyhemoglobin (HbCO) - ANS-The diagnosis of CO poisoning is made primarily from a
history of exposure and direct measurement of __________
\Clean (the heat killed the bacteria) - ANS-Are burn injuries dirty or clean?
\edema - ANS-Airway injury in burns may develop over time and not be immediately present
compared to other trauma, this is due to the process of ______
\extent of the inflammatory response to the injury - ANS-The most significant difference
between burns and other injuries is that the consequences of burn injury are directly linked
to the _________
\First - ANS-________-degree frostbite: Hyperemia and edema are present without skin
necrosis.
