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GEP - Burns

GEP - Burns Lecture Week 6 2009

QuestionAnswer
First Degree Burn Only superficial tissue destruction in outermost layers of epidermis <BR> No compromise of skin function <BR> Sun burn, brief exposure to hot liquid or surface
Second Degree Burn <BR> Superficial Partial-Thickness Burn Involve epidermis and dermis <BR> Blisters form, hair follicle stays intact <BR> 21-28 days to heal
Second Degree Burn <BR> Deep Partial-Thisckness Burn Involve entire dermis and leave only epidermal appendages in hair follicles <BR> Mottled appearance, dry surface w/ flat blisters
Third Degree Burn Involve entire epidermis, dermis, and underlying subcutaneous tissue <BR> Deep blisters under dry layer of dehydrated skin <BR> Lots of edema, loss of elasticity
Fourth Degree Burn Full thickness injuries that involve muscle, bone, or both
Parkland Formula for Fluid Resuscitation in Burn Shock During first 24 hrs after burn, give LRS <BR> 4mL LRS per %TBSA burn per kg body weight
Emergent Phase Time between end of burn shock and closure of the wound to less than 20% TBSA.
Created by: frolickinglizard