Step 2 Crush Em

Front 1

3 types of burns

Back 1

chemical thermal electrical

Front 2

mgmt of burns

Back 2

tons of IV fluids either LR first choice or NS, removal of all clothes and smoldering items, copious irrigation of chemical burns, use 100 O2 until CO poisoning can be ruled out

Front 3

which is worse acid or alkali burn

Back 3

alkali becuase it penetrates deeper

Front 4

sequelae and mgmt of electrical burns

Back 4

internal tissue destruction can lead to myoglobinuria, acidosis, renal failure.
Give lots of IV fluids
Can also get cardiac arrhythmias, get an EKG

Front 5

burn severity classifications

Back 5

first deg: epidermis only
second deg: epidermis and some dermis, blisters and open weeping surfaces. remove blisters, apply antibiotic ointment and dress
third deg: all layers, painless and dry, excise eschar and skin graft, watch for compartment syndrome, escharotomy

Front 6

burn bugs

Back 6

Staph and Pseudomonas

Front 7

what do you give prophylactically to burn pts

Back 7

tetanus booster if not in last 5 yrs, abx topical only

Front 8

what is hypothermia

Back 8

body temp <35 C or 95F

Front 9

mgmt of hypothermia

Back 9

if awake, warm blankets
if unconcious immersion in warm water
monitor EKG: J point elevation
monitor lytes, renal, acid base

Front 10

do not give up resuscitation until what

Back 10

until they're warm and dead.

Front 11

what is hyperthermia

Back 11

>104F

Front 12

classic culprits of hyperthermia and mgmt

Back 12

treat convulsions with diazepam
1. malignant hypertherm: look for succinylcholine or halothane exposure. give dantrolene
2. NMS: stop med, IV fluids, and consider dantrolene
3. Drug fever: supportive

Front 13

who does better, warm water drowners or cold water drowners

Back 13

cold because of dec metabolic needs

Front 14

what to do with a choker

Back 14

leave alone if they're talking, breathing, or coughing. Heimlich maneuver if not

Front 15

what to do with tooth avulsion

Back 15

rinse with saline and put it back