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?

Extended position with a soft collar Signup and view all the answers

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

Xenograft Signup and view all the answers

Match the following types of burns with their characteristics:

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

Match the following compression therapy guidelines with their descriptions:

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 Signup and view all the answers

Match the following skin graft types with their sources:

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 Signup and view all the answers

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

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 Signup and view all the answers

Match the following skin grafts with their lifespan:

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

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

True Signup and view all the answers

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

False Signup and view all the answers

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

False Signup and view all the answers

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

False Signup and view all the answers

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

True Signup and view all the answers

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.