___% of BSA require fluid resuscitation.

The palmer surface of a patient’s handrepresents

approximately ___% of their BSA.1%A high index of suspicion for inhalationinjury must be
maintained, because patientsmay not display clinical evidence for up to ___ hours, by this time
edema may preventnon-surgical intubation.24Carbon monoxide has ____ times the affinityfor
oxygen as hemoglobin.240Patients with CO levels less than ___%usually don’t have any physical
symptoms.20%A d u l t h e a d B S A = _ _ _ %
. 9 ( E N T I R E h e a d f r o n t a n d
b a c k = 9 ) B a b y h e a d B
S A = _ _ % 1 8 ( 9 f r o
n t , 9 b a c k )
What is the main difference between adultand baby BSA determination for burns?Entire head
on baby is 18, whereas it’s 9 for adults. This difference of 9 is made up by thefact that each side
(front/back) on adult = 9, butonly 7 for kids. (36 vs
28).C h e s t B S
A = _ _ _ %
. 1 8 B a c k
B S A = _ _
_ % . 1 8 A r m B S
A = _ _ _ % . 9 T O T A L
( f r o n t A N D b a c k
) . L e g B S A f o r a d u l t = _ _ _ %
. 1 8 T O T A L ( 9 f r o n t , 9 b a c k )
. Baby front or back of leg BSA
=___%.7 (TOTAL leg = 14%
If you add up BSA head, chest, back, arms,and legs you get 99% of BSA. What is theremaining
1%?PerineumPartial/2nd degree burns extend into the _____ whereas full thickness/3rd
degree burns ______.Partial – go into dermis, FULL go all the waythrough dermis and
into/beyond SQ tissue.For patients with CO poisoning, the ½ life is ___ when breathing room air
and ___ breathing 100% oxygen4 hours on RA, 40 min on 100% O2How do you calculate the
Parkland formula?4 * weight (kg) * percent BSA burned =volume in 24 hours (1st half in 8 hrs,
2nd half over 16 hrs).4*70kg*25 percent = 7 liters in 24hours. ***Use 25, NOT 0.25)***Partial
or full thickness burns of ___% in patients less than 10 or older than 50 warrantstransfer to a
burn center.10%What percent partial/full thickness burnswould qualify a 25 year old for a burn
center transfer?20%What anatomical positions with partial/fullthickness burns warrant burn
center transfer?Face, eyes, ears, hands, genitalia, perineum,feet, skin overlying joints.Does an
inhalation injury warrant transfer toa burn center?YES!!!!!Should you treat frostbite by soaking
body part in water or not?YES, 40 degree (104F) for 20-30 min shouldsuffice. Don’t warm if
there is risk of
REFREEZING.Insofar as hypothermia is concerned, patientsare not pronounced dead until they
are _____ and dead.warmWhat are you thinking if a child has brokenribs?MASSIVE force and
highly likely organdamage (since their ribs are very pliable, a hugeamount of force is required to
break them, thereis often underlying organ damage WITHOUT broken ribs).How should you
insert a Guedel in a kid?Use tongue blade depressor and insert gentlywithout turning –
otherwise there is great risk for trauma and resultant hemorrhage. NOT the180 degree spin
trick.The normal systolic BP in kids can beestimated by what?90 mm Hg + (age x 2)How do you
estimate a child’s totalcirculating volume?80 mL/kgWhen shock in a child is suspected,
howmuch fluid do you give them?20 mL/kg warm crystalloid May need to repeatup to 3 times
(60 mL/kg) then consider blood products.O p t i m a l U O P f o r i n f a n t s i s _ _ _
m L / k g / h r . 2 ( 1 . 5 f o r y o u n g e r k i d s , a n d 1 . 0 f o r o l d e r k i d s ) . How much warmed
crystalloid should beused for a DPL in kids?10 mL/kg (up to 1000 mL)What would you see in an
infant that wouldmake you suspect very severe brain injurydespite normal LOC?Bulging
fontanelles – these allow tolerance for expanding masses/swelling…What is a possible mistake
about a blood pressure of 120/80 in a 87 year old man?Assuming that normal blood pressure
=normovolemia. Many geriatric patients haveuncontrolled hypertension, and if their
normalsystolic is 180, then 120/80 is relativeHYPOtension for them.How well do geriatric
patients do with non-operative management of abdominal injuriescompared to younger
people? Not as well – the risks of non-operativemanagement are often worse than the risks
of surgery.Why would geriatric patients be MOREsusceptible to head bleeds when there
isincreased space around a shrinking brain to protect them from contusion?Atrophic brains =
stretching of the parasagittal bridging veins, making them more prone torupture upon
impact.Plasma volume increases during pregnancy,what happens to hematocrit?Decreases –
dilution by plasma (31-35% isnormal in pregnancy)What would you think of a WBC of 15,000
ina pregnant woman? Normal, it can go up to 25,000 during labor!What should you always
assume about a pregnant patient’s stomach?That it is always full. (Gastric emptying
timeincreases during pregnancy). Early NG tube placement recommended.A PaCO2 of 35 to 40
in a pregnant patientmay indicate what?Impending respiratory failure. It is usuallyaround 30
due to hyperventilation due toincreased levels of progesterone.
True or False: All Rh negative pregnanttrauma patients should get Rhogam?True, unless the
injury is remote from theuterus (distal extremity injury only). Thistherapy should be initiated
within 72 hours of injury.When worn correctly, seatbelts reducefatalities by ___%.65-70%, with
a 10-fold reduction in seriousinjury.