Emergency Medicine Pearls: Burn Injuries Management
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Questions and Answers

What is the recommended treatment for potential carbon monoxide (CO) exposure?

  • Use a burn chart to evaluate BSA
  • Provide 100% oxygen (correct)
  • Apply ice to the affected area
  • Administer nebulized epinephrine

Which type of burns are considered critical based on the percentage of body surface area (BSA) affected and patient age?

  • Burns involving the face, hands, or feet regardless of BSA
  • 3rd-degree burns affecting more than 5% BSA
  • 2nd and 3rd-degree burns affecting more than 20% BSA in patients over age 10 (correct)
  • Burns with associated major traumatic injury

Why is applying ice or cooling not recommended for burns involving more than 10% of the body surface area?

  • To reduce pain
  • To limit fluid loss
  • To prevent infection
  • To avoid hypothermia (correct)

In which scenario is transport to a trauma center not required for burn patients?

<p>Non-critical burns with less than 5% BSA affected (C)</p> Signup and view all the answers

Why are circumferential burns to extremities considered dangerous?

<p>Due to potential vascular compromise from soft tissue swelling (D)</p> Signup and view all the answers

When should nebulized epinephrine be considered for burn patients?

<p>In cases of respiratory distress early in airway burns with specific symptoms like hoarse/muffled voice and stridor (D)</p> Signup and view all the answers

What is the formula for calculating the amount of isotonic crystalloid to be infused over the first hour for a Total Body Surface Area (TBSA) of 30% in adults?

<p>67 mL (B)</p> Signup and view all the answers

For a patient weighing 105 kg with a TBSA of 40%, how many drops per minute (10 gtts) are required according to the Rule of 10s?

<p>60 gtts (D)</p> Signup and view all the answers

In adults, what is the appropriate first-hour volume of isotonic crystalloid for a TBSA of 80%?

<p>183 mL (D)</p> Signup and view all the answers

What is the estimated TBSA percentage for a patient weighing 95 kg (~209 lbs) according to the given formula?

<p>40% (B)</p> Signup and view all the answers

Which TBSA percentage would require infusing 117 mL of isotonic crystalloid over the first hour in adults?

<p>60% (D)</p> Signup and view all the answers

For a TBSA of 50% in adults, how many milliliters (mL) of isotonic crystalloid should be infused over the first hour?

<p>117 mL (A)</p> Signup and view all the answers

According to the Rule of 10s, how many milliliters per hour (mL/hr) should be given for a TBSA of 90% in adults?

<p>200 mL/hr (C)</p> Signup and view all the answers

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