Burns

Front 1

s/s horseness and drooling
altered abgs, HBCO2 20-60%, DO NOT use spo2 monitors to monitor 02 saturation

Back 1

INHALATION INJURY

Front 2

TX: early intubation, avoid tracheostomy
early mechanical ventilation with FI02 100%, then adjjust ABGS, Early use of high frequnecy ventilators is severe

Back 2

inhalation injury treatment

Front 3

Complications: v-fib and other dysrhytmias, tetany of repsitaroty muscles

Back 3

electrical burns

Front 4

debride, wound care. Cardiac monitor and treat dysrhytmias, and intubation/ventilation PRN

Back 4

electrical burns treatment

Front 5

topical care (except if cause is sodium metal) remove agent and shower with cool tap water
EYES irrigate with tap water Ist aid, or sterila saline, do not use irrigation lenses
inhalation mustard gas: 100% o2 at hi pressure/frequency
SODIUM METAL EXPLODES IN WATER AND AIR, REMOVE THIS SURGICALLY UNDER OIL

Back 5

CHEMICAL BURNS TREATMENT

Front 6

24-72 hrs
priority: fluids
death by incineration or fluid and electrolyte imbalances

Back 6

resuscitation phase of care

Front 7

days to months
priority is wound care, cause of death is infection

Back 7

acute phase of care

Front 8

up to 2 yrs: priority return/preserve function

Back 8

rehab phase of care

Front 9

erythimic, mild inflamation, mild pain, usually resolves in 2-3 days, sunburn usually goes away in 2-7 days

Back 9

Epidermis burn, partial thickness, superficial 1ST DEGREE

Front 10

treatment aloe vera, noxema to cool skin and treat pain, moisturize but dont use butter oil porducts. Drink lots of fluid,
Use moisturizer thats water based bc oil traps heat

Back 10

treament of epidermis superficial burns, sunburns 1ST DEGREE, partial thickness

Front 11

very painful, erythemic (bright-light red), mottled, blotchy appearance, weapy/oozy, moist, bullae (blisters), sensitive to air currents.
Takes 7 days to 6 weeks to heal, usually minimal scarring
ONCE you get blisters, your in the dermal area

Back 11

2ND DEGREE, MODERATE, EPIDERMIS AND 1/3 OF DERMIS TOP, SUPERFICIAL, partial thickneses

Front 12

erythemic w white areas where there are deeper parts of the burn, weepy, DO NOT DEVELOP BULLAE/BLISTERS, delayed cap refill in burned area, long time to heal, usually requires debridement, requires skin grafting, have scarring

Back 12

deep dermal, second degree burn, epidermis and deep dermis., partial thickness

Front 13

White in color, charred looking leather, red brown leathery looking areas with full thickness, nerves killed in this area so USUALLY not painful. may require debridement, grafting. will have scars

Back 13

full thickness 3rd degree burn, involves subq tissue

Front 14

age + % burn =

Back 14

mortality

Front 15

age+ % burn x 2=

Back 15

inhalation injury mortality

Front 16

always use large IV on unburned area, IV SUTURED, always give LR

Back 16

fluid resuscitation in burns

Front 17

LR 2-4 ml/kg/%burn
half fluid given in first 8hrs since time of burn, remaining half over nest 16 hrs
USE big tubing, 10drops/min

Back 17

parkland formula to treat burns

Front 18

maintain urinary output,
if rhabdo give more fluids, double urinary output
slow fluids down after 24 hrs if developing fluid overload

Back 18

30-50mls

Front 19

Early intubation, hi pressure support vent, high frequency,

Back 19

facial burn, suspect inhalation injury

Front 20

hi vent pressure to provide adequate tidal volume, escharotomy bilaterally to prevent compartment problems, will demostrate increase in vent peak pressure

Back 20

circumferential burn of the torso (chest)

Front 21

morphine or fentanyl, does not interfere with bleeding

Back 21

pain control in burn

Front 22

arterial bleed, fast onset,
brief LOC, wake up lucid, confused, then LOC again

Back 22

epidural hematoma

Front 23

decrease: supply, extraction,

Back 23

microemboli

Front 24

decreases extraction

Back 24

inter edema

Front 25

decreases supply

Back 25

pulm edema

Front 26

decreases supply, increases demand

Back 26

decreases CO

Front 27

decreases extraction

Back 27

respiratory acidosis

Front 28

increases 02 demand

Back 28

seizures

Front 29

increases 02 demand, decreases supply

Back 29

V-FIB

Front 30

decreases supply

Back 30

apnea

Front 31

carbon monoxide poisoning

Back 31

decreases supply, decreases extraction

Front 32

increases 02 demand, decreases supply

Back 32

fever

Front 33

increases 02 tissue demand, decreases extraction

Back 33

anemia

Front 34

decreases supply, extraction and increases demand

Back 34

pneumonia

Front 35

decreases extraction

Back 35

leaky capillaries

Front 36

increases 02 tissue demand, decreases extraction

Back 36

anemia

Front 37

decreases supply, extraction and increases demand

Back 37

pneumonia

Front 38

decreases supply, decreases extraction

Back 38

leaky capillaries

Front 39

treat increased afterload

Back 39

dilators/Nitro, labetalol, hydrolazine,

AUGMENT IABP

Front 40

treat decreased afterload

Back 40

pressors, epi, norepi, dopaminel evophed, not vassopressin

Front 41

treat decreased contractility

Back 41

postive inotropes: doapmine (2-10mcg.kg.min) dobutamine, digoxin

Front 42

treat increased preload

Back 42

diuretic, dilators like nitro, nitroprusside, ca channel blockers

Front 43

treat decreased preload

Back 43

give volume, antidysrhytmic, amiodarone

Front 44

increased heart rate treatment

Back 44

beta blockers metropolol, atenolol,

Front 45

treat decreased HR

Back 45

dopamine 2-10 mcg/kg/min, dobutamine, atropine, epinenephrine

Front 46

subarachnoid hemorrhage, cough up blood, pee blood, abdominal distention, GI Bleed, bleeding gums, nose bleeds, bruises

Back 46

initial stage of DIC

Front 47

LOC, CVA, dysrhytmias, chest pain, embolus, resp, failure, oliguria, ATN, renal failure, diarrhea, constipation, bowel infarction, peripheral cyanosis, gangrene

Back 47

second stage of DIC

Front 48

ABCS,
SHOCK at 120 biphasic, CPR, SHOCK AGAIN, higher joules
EPI, VASSPRESSIN, SHOCK
LIDOCAINE, SHOCK
AMIODARONE, SHOCK
MAGNESIUM, SHOCK

Back 48

V-FIB treatments

Front 49

atropine or pacemaker
dopamine if low bp
epinephrine

Back 49

sinus bradycardia treatments