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Emergency Medicine Pearls: Burn Injuries Management

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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?

Non-critical burns with less than 5% BSA affected Signup and view all the answers

Why are circumferential burns to extremities considered dangerous?

Due to potential vascular compromise from soft tissue swelling Signup and view all the answers

When should nebulized epinephrine be considered for burn patients?

In cases of respiratory distress early in airway burns with specific symptoms like hoarse/muffled voice and stridor 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?

67 mL 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?

60 gtts Signup and view all the answers

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

183 mL 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?

40% Signup and view all the answers

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

60% 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?

117 mL 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?

200 mL/hr Signup and view all the answers