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Burns in the Pediatric Population

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Question Answer
What is the most common source of a pediatric electrical burn?
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Biting an electrical cord
Tissue damage from ________ burns occurs from the inside outwards.
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Electrical burns
A true electrical burn has a________& a _________.
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A true electrical burn has a contact point or entrance wound and exit wound
What is the "iceberg effect" with respect to electrical burns?
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You can see the extent of the damage. All tissues along the path of the current will be affected
Electrical burn entrance or exit wound characteristic? Usually small contact burn with a “melted” look
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Entrance wound
Electrical burn entrance or exit wound characteristic? Usually large tissue defect with “exploded look”
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Exit wound
Burning and destruction of tissue from a chemical will continue until the chemical agent is __________.
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Neutralized or diluted with water.
What factors determine the extent of a chemical burn?
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Agent, Concentration, Area in contact, Time exposed
What are the hallmark signs of an inhalation injury?
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Blistered lips, Carbonaceous sputum, Singed nasal hair, fire was in an enclosed space
What immediate actions should be done for a burn victim at the scene?
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Encourage them to stop/drop/roll, Remove burning clothes/jewelry any chemical soaked clothing or from the electrical source and cover with a clean, dry sheet
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What are the three don't's of initial treatment of burns?
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Don't apply ice, don't apply creams/ointments, and don't break blisters
During initial treatment of a chemical burn injury, any clothes that came into contact with the chemical should be removed and the patient should be flushed with water for ________.
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20 minutes
For a patient exposed to a powdered chemical, what are the first two things that should be done?
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Remove the clothing that came into contact with the chemical and brush any excess from the skin prior to flushing them with water
How long should eye injuries from a chemical burn be flushed for?
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Eye injuries require continuous irrigation until instructed by a burn physician
What are signs of complications that should be monitored for in the case of a minor burn?
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Wound margin erythematous (reddened), Gross purulent drainage or a Systemic reaction (fever or tachycardia)
Superficial & Partial Thickness (1st & 2nd degree)usually undergo complete healing within ______with minimal scarring.
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21 days
What medications are used to treat superficial/1st degree and partial thickness/2nd degree burns?
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Double antibiotic or Bacitracin and over Biobrane dressing within 1st 72 hours
What medication is used to treat some partial thickness/second degree burns and any partial thickness/second degree burn on the face?
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Silvadene
What medication is used to treat full thickness/3rd degree burns and cannot be applied to the face?
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Sulfamylon
What are the initial treatments for a superficial or partial thickness burn?
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Wash with mild soap, rinse. Loosen blisters & skin debrided, treat with medications
How often are dressings changed for a burn victim?
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1-2 times daily until re-epithelialization occurs, very painful
  
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