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GEP - Burns Lecture Week 6 2009

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Question
Answer
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  
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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  
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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  
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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  
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Fourth Degree Burn   Full thickness injuries that involve muscle, bone, or both  
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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  
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Emergent Phase   Time between end of burn shock and closure of the wound to less than 20% TBSA.  
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