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| The overall burn rate has declined over the past two decades. However, in what population has burn rates actually increased? |
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Definition
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How many burn centers are there in the U.S.?
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| What percentage of burn victims are under the age of 17? |
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Definition
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| What is the predominate form of burn injury in small kids? |
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Definition
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| What are the 2 major causes of death related to patients with burn injuries? |
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Definition
1. Multiple organ failure
2. infection |
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| The size and depth of the burn sets guidelines for _____________ as well as the ____________. |
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Definition
- resuscitation
- indications for surgical intervention
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| T or F: burns are classified according to depth and the extent of skin and tissue destroyed along with the etiology of the burn. |
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Definition
False: burns are classified according to depth and the extent of skin and tissue destroyed along with the total body surface area.
Etiology doesn't play into the classification. |
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| T or F: the epidermis is avascular. |
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Definition
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| T or F: a 1st degree burn is limited to the epidermis and is also referred to as a superficial partial thickness burn. |
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Definition
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| If you get a second degree burn what skin structure must be intact in order to have any chance of regrowing new skin? |
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Definition
| The epithelial basement membrane of the dermis. |
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Term
| What type of burn can be subclassified into deep partial thickness or superficial partial thickness? |
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Definition
Second degree
I don't know how this is so b/c first degree burns are also called superficial partial thickness burns. Gayle doesn't describe what differentiates a deep partial thickness burn from a superficial partial thickness burn(2nd degree). |
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| A 3rd degree or full thickness burn extends into what structures? |
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Definition
| into the SQ tissue below the dermis. The entire skin thickness is destroyed. |
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| I don't think anyone classifies burns as being 4th degree in the real world, but if they did, what structures would be burned? |
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Definition
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A quick way to determine the depth of a burn would be to (1)look at the color and (2)touch it to see if it is sensitive to painful stimuli and heat (and also to see if it blanches).
I touch a burn that is white and insensitive...what type of burn is it? |
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| The "rule of 9s" by Lund and Browder is classic. How much TBSA is affected if a person burns his posterior left arm, posterior back, left posterior thigh, and his pee-pee? |
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Definition
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| Describe Gayle's fast method for determining burn suface area on and infant or small child. |
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Definition
child's palm=1% BSA(roughly)
You can actually use it for an adult as well. |
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Term
| BURN SURVIVABILITY has two primary determinants...what are they? |
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Definition
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| Based on the chart on page 9 of the notes (Burn survival v. Burn size and age) what age groups fare the worst? |
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Definition
| People older than 50 yrs are the least likely to survive. Infants do better than the oldies. Young and middle aged folks (less than 50 yrs) do the best. |
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Term
| What criteria must be met before we can call a burn "severe"? |
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Definition
- 2nd degree >25% TBSA in adult
- 3rd degree >10% TBSA in adult
- >20% TBSA in extremis of age
- Face, hands, feet, perineum
- Inhalation component
- Chemical and electrical
- Burns to patients with comorbidities
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