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Burns in the Pediatric Population

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What is the most common type of thermal injury in children aged 4 and younger?
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Scalding injuries (followed by contact burns and flame burns)
What are the most common sources of burns in children aged 6 months old to 2 years old?
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Hot liquids and hot foods
Tissue injury resulting from an excessive exposure to thermal, chemical, electrical or radioactive agents…
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Burn
What are the factors that determine the extent of injury from a burn?
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The type, duration, and intensity of the agent and the part of the body involved
Burn injuries can be classified by the depth of the burn. What type of burn is the following? Most painful, nerves are intact
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Superficial
Burn injuries can be classified by the depth of the burn. What type of burn is the following? Burn that extends through the dermis
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Partial thickness
Burn injuries can be classified by the depth of the burn. What type of burn is the following? Burn that extends beyond the hair follicles and doesn't produce a lot of pain
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Full thickness
Burns can be classified by the severity of the injury. A burn that extends through the epidermis is referred to as a ______ degree burn.
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First degree
Burns can be classified by the severity of the injury. A burn that extends through the epidermis, dermis and hair follicle appendages is referred to as a ______ degree burn.
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Second degree
Burns can be classified by the severity of the injury. A burn that extends through the subcutaneous layer is referred to as a ______ degree burn.
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Third degree
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The following are hallmark characteristics of a _________ burn. Dry, Painful, Red color, Singed hair and swollen
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Superficial
The following are characteristics associated with a _______ burn: Blistered, Painful, Red to white color, Swollen, Wet weepy wound, Singed hair that does not pull out when tugged
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Partial thickness
The following characteristics are hallmark for a ________ burn: Dry, Insensate, Tan to brown color, Firm to touch, Dry wound, Hair that plucks out when tugged
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Full thickness
In a child with full thickness burns, how are the presence of pulses confirmed?
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A doppler can be used to ensure that pulses are present distally.
What surgery is performed to treat constriction caused by healing wound tissue that is occluding blood flow to a distal area?
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Escharotomy is performed to prevent constriction, compression distal to the injury
What is the palm method for assessing burn surface area?
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The child's palm represent 1% of the body
What method is used by most burn centers to assess the extent of a patient's burns?
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The Lund-Browder chart
Why is the "Rule of Nines" not an accurate tool for determining the extent of an infant's/young child's burns?
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Infant head size is larger than adults (18% of the body vs. 9% in adults). An infant's legs account for 14 % surface area whereas it accounts for 18% of an adults.
What factors does the Lund-Browder burn assessment scale take into account when determine the extent of a child's burn?
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The age of the child, area affected, and percentage of the body surface area based upon height and weight
A major burn is one that covers ____% of a child's total body surface area that are partial or full thickness.
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20%
  
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