Burn Management and Treatment
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Questions and Answers

What criteria define a major burn?

  • Partial thickness burn > 25% TBSA and full thickness burn > 10% TBSA (correct)
  • Partial thickness burn with inhalation injuries
  • Full thickness burn only
  • Any burn involving chemical exposure

What is the recommended wearing time for compression therapy after burns have healed?

  • 8 hours a day indefinitely
  • 12-16 hours a day for 6-12 months
  • 24 hours a day for 18-24 months
  • 23 hours a day for 12-18 months (correct)

Which type of skin graft is permanent?

  • Xenograft
  • Allograft
  • Autograft (correct)
  • Composite graft

What is the correct positioning for the neck to potentially reduce contracture?

<p>Extended position with a soft collar (C)</p> Signup and view all the answers

Which of the following types of grafts is typically sourced from another species, such as a pig?

<p>Xenograft (B)</p> Signup and view all the answers

Match the following types of burns with their characteristics:

<p>Partial thickness burn = Burn affecting &gt;25% TBSA Full thickness burn = Burn affecting &gt;10% TBSA Inhalation burn = Burn caused by inhaling hot gases Chemical burn = Burn caused by exposure to harmful chemicals</p> Signup and view all the answers

Match the following compression therapy guidelines with their descriptions:

<p>Worn duration = 23 hours a day for 12-18 months Indicated for healing time = Wounds taking longer than 10-14 days to heal Post-graft usage = Used after burns are healed Purpose of application = To reduce scarring and improve healing</p> Signup and view all the answers

Match the following skin graft types with their sources:

<p>Allograft = From another human (usually cadaver) Xenograft = From another species (usually pig) Autograft = Donor site from the patient's own body Synthetic graft = Man-made materials for skin coverage</p> Signup and view all the answers

Match the following body positions with their respective contracture reduction techniques:

<p>Neck positioning = Extended with soft collar or Philadelphia collar Shoulder positioning = Abducted to 90 degrees with ER Elbow positioning = Extended and supinated Hip positioning = Extended and abducted with air splint</p> Signup and view all the answers

Match the following skin grafts with their lifespan:

<p>Allograft = Temporary Xenograft = Temporary Autograft = Permanent Synthetic graft = Varies, often temporary</p> Signup and view all the answers

A major burn includes a partial thickness burn greater than 25% total body surface area.

<p>True (A)</p> Signup and view all the answers

Compression therapy is indicated for wounds that take longer than 5-7 days to heal.

<p>False (B)</p> Signup and view all the answers

An allograft is a type of graft taken from a donor site on the same patient.

<p>False (B)</p> Signup and view all the answers

The recommended wearing time for pressure garments is 2 hours a day for 6-12 months.

<p>False (B)</p> Signup and view all the answers

An electrical burn can be classified as a type of major burn.

<p>True (A)</p> Signup and view all the answers

Flashcards

Major burn characteristics

Partial thickness burns over 25% total body surface area (TBSA), full thickness burns over 10% TBSA, burns involving the face, hands, feet, periosteum, or being circumferential, inhalation burns, chemical burns, electrical burns, or burns on a person less than 10 or older than 50 years old.

Compression therapy use

Used for wounds taking longer than 10-14 days to heal, after burns are healed, or when skin grafts are used, typically worn 23 hours a day for 12-18 months.

Types of skin grafts

Allograft (homograft): temporary, from another human (usually cadaver); xenograft (heterograft): temporary, from another species (usually pig); autograft: permanent, from the patient's own body.

Neck positioning for contracture reduction

Neck should be in extension, supported by a soft collar or Philadelphia collar.

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Shoulder positioning for contracture reduction

Shoulders abducted to 90 degrees, externally rotated (ER), using an axillary or airplane splint.

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When is compression therapy indicated?

Compression therapy is indicated for wounds that take longer than 10-14 days to heal, after burns are healed, or when a graft is used. It helps prevent scar formation.

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What is the wearing time for compression garments?

Compression garments are typically worn 23 hours a day for 12 to 18 months.

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What is an allograft?

An allograft is a skin graft from another human, usually a cadaver. It provides temporary coverage while the patient's own skin heals.

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What is a xenograft?

A xenograft is a skin graft from another species, usually a pig. It provides temporary coverage, but is more likely to be rejected than an allograft.

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What is an autograft?

An autograft is a skin graft taken from the patient's own body. It is the preferred graft because it is permanent.

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What defines a major burn?

A burn is considered major if it involves a partial thickness burn covering more than 25% of the body's surface area, a full thickness burn affecting more than 10% of the body's surface area, or includes specific areas like the face, hands, feet, or a circumferential burn. Inhalation, chemical, or electrical burns also classify as major burns, as do burns on individuals under 10 years old or over 50 years old.

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Compression therapy after burns

Compression therapy, using pressure garments, is applied after burns heal to minimize scarring and improve mobility. It's indicated for wounds taking longer than 10-14 days to heal, whenever skin grafts are used, and is worn 23 hours daily for 12-18 months.

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Study Notes

Major Burn Characteristics

  • Partial-thickness burns covering more than 25% of total body surface area (TBSA) or full-thickness burns covering more than 10% TBSA are considered major.
  • Burns involving the face, hands, feet, periosteum, or are circumferential are also considered major.
  • Inhalation, chemical, or electrical burns are major burn types.
  • Burns in individuals less than 10 years old or older than 50 years old are considered major burns.

Compression Therapy Indications

  • Compression therapy (pressure garments) is used after burns have healed.
  • It's indicated for wounds taking longer than 10-14 days to heal.
  • It's also indicated whenever a skin graft is used.
  • Compression garments are typically worn 23 hours a day for 12-18 months.

Skin Graft Types and Characteristics

  • Allograft/Homograft: Derived from another human (usually a cadaver); temporary.
  • Xenograft/Heterograft: Derived from another species (usually a pig); temporary.
  • Autograft: Donor site from another part of the burned patient's body; permanent.

Positioning Principles to Reduce Contractures

  • Neck: Extended position; soft collar or Philadelphia collar.
  • Shoulders: Abducted to 90 degrees; External Rotation (ER), axillary or airplane splint.
  • Elbow/Forearm: Extended, supinated position; air splint or 3-point system.
  • Hand/Wrist: Extension, thumb abduction; dorsal or palmar splint.
  • Hips/Knees: Extended, abducted position; air splint or 3-point system for the knee.
  • Ankle: Dorsiflexion; Ankle-Foot Orthosis (AFO).

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Description

This quiz covers important characteristics of major burns, indications for compression therapy, and types of skin grafts. Test your knowledge on how to identify major burns and the appropriate treatment approaches used in burn care.

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