Burn Management

A 10 year old boy is playing with a firework which explodes and he sustains a full thickness burn to his left arm. Which of the following is not characteristics of this situation?

• They have a leathery appearance

• The burn area is extremely painful until skin grafted

• They always heal with scarring

• Blanching does not occur under pressure

A 22 year old man has a full thickness circumferential burn of his leg after being trapped in a burning car. After 2 hours, he complained of tingling of his leg and it appears dusky. What is the best management for this?

• Fasciotomy

• Escharotomy

• Angioplasty

• Pain control

The following features are typical of superficial dermal burns except:

• They are usually erythematous

• Blistering should not occur

• Spontaneous healing will occur in nearly all cases

• Capillary return should be present

A 10 year old child is admitted with severe 30% burn following a housefire. 1 day following skin graft he becomes tachycardic and hypotensive. He vomited twice and this shows evidence of hemetemesis

• Type 1 respiratory failure

• Deep vein thrombosis

• Curlings ulcer

• Toxic shock syndrome

A 26 year old electrician suffers full thickness high voltage burn to his leg. UFEME: ery: 3+. BUSE shows mild hyperkalemia and a CK of 3000.

• Toxic shock syndrome

• Disseminated intravascular coagulation

• Rhabdomyolysis

• Disseminated intravascular coagulation

A 45 year old man is admitted after his clothes caught fire. He suffers a full thickness circumferential burn to his lower thigh. He complains of increasing pain in lower leg and on examination there is paraesthesia. Foot pulses are normal

• Compartment syndrome

• Contracture

• Deep vein thrombosis

• Rhabdomyolysis

25 year old male is admitted having involved in a housefire. His weight is 75kg and he suffered from 22% full thickness burns to his torso and limbs. Determine the correct volume and type of fluids in first 8 hours

• 3300ml Hartmans Solution

• 6600ml Hartmans Solution

• 6000ml Human albumin Solution

• 3300ml Fresh Frozen plasma

A 25 year old male is admitted having involved in housefire. His weight is 85kg, and he has suffered from 19% full thickness burns to his torso and limbs. Determine the correct volume and fluids in first 8 hour.

• 6600ml Hartmans Solution

• 3300ml Hartmans Solution

• 3300ml Human albumins

• Fluid resuscitation not required

A 25 year old is admitted having been involved in a housefire. His weight is 65kg and he has suffered superficial epidermal burns of his whole left upper limb. Determine the correct volume and fluids for 24 hours

• 2400ml Hartman Solutions

• 1200ml Hartman Solutions

• 2400ml Normal Saline

• Fluid resuscitation is not required

A 5 year old suffers 20% burns to torso. On examination there is fixed pigmentation and the affected area has a white and dry appearance. Best wound management?

• Split thickness skin graft

• Direct primary closure

• Delayed primary closure

• Myocutaneous flap reconstruction (pedicled)