Burns

Review first, second, and third degree burns.

How can you determine burn depth?

Reference(s):

Jaskille, A. D., Shupp, J. W., Jordan, M. H., & Jeng, J. C. (2009). Critical review of burn depth assessment techniques: Part I. Historical review. Journal of Burn Care & Research : Official Publication of the American Burn Association, 30(6), 937–947.

Jaskille, A. D., Ramella-Roman, J. C., Shupp, J. W., Jordan, M. H., & Jeng, J. C. (2010). Critical review of burn depth assessment techniques: part II. Review of laser doppler technology. Journal of Burn Care & Research : Official Publication of the American Burn Association, 31(1), 151–157.

How do you calculate the percentage of a burn, especially in the head and neck? Is the palmar estimation method reliable?

Reference(s):

Butz, D. R., Collier, Z., O’Connor, A., Magdziak, M., & Gottlieb, L. J. (2015). Is palmar surface area a reliable tool to estimate burn surface areas in obese patients? Journal of Burn Care & Research : Official Publication of the American Burn Association, 36(1), 87–91.

Discuss fluid resuscitation of the burn patient.  What is the Parkland formula?

Reference(s):

Bacomo, F. K., & Chung, K. K. (2011). A primer on burn resuscitation. Journal of Emergencies, Trauma, and Shock, 4(1), 109–113.

Cancio, L. C. (2014). Initial assessment and fluid resuscitation of burn patients. The Surgical Clinics of North America, 94(4), 741–754.

How should you manage a first degree burn to the ear? Second degree? Third degree?

What topical antibiotic will you use to treat the burn wound?

Reference(s):

Oen, I. M. M. H., van Baar, M. E., Middelkoop, E., & Nieuwenhuis, M. K. (2012). Effectiveness of cerium nitrate-silver sulfadiazine in the treatment of facial burns: a multicenter, randomized, controlled trial. Plastic and Reconstructive Surgery, 130(2), 274e–283e.

What are the concerns with a burned neck?

Reference(s):

Mody, N. B., Bankar, S. S., & Patil, A. (2014). Post burn contracture neck: clinical profile and management. Journal of Clinical and Diagnostic Research : JCDR, 8(10), NC12-7.

Seo, D.-K., Kym, D., & Hur, J. (2014). Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients. Annals of Surgical Treatment and Research, 87(5), 253–259.

Clayton, N. A., Ward, E. C., & Maitz, P. K. (2017). Intensive swallowing and orofacial contracture rehabilitation after severe burn: A pilot study and literature review. Burns : Journal of the International Society for Burn Injuries, 43(1), e7–e17.

Discuss thermal injury to the eyes in patients with facial burns.

Reference(s):

Bouchard, C. S., Morno, K., Perkins, J., McDonnell, J. F., & Dicken, R. (2001). Ocular complications of thermal injury: a 3-year retrospective. The Journal of Trauma, 50(1), 79–82.

When should patients with extensive facial burns undergo excision and grafting?

Reference(s):

Philp, L., Umraw, N., & Cartotto, R. (2012). Late outcomes after grafting of the severely burned face: a quality improvement initiative. Journal of Burn Care & Research : Official Publication of the American Burn Association, 33(1), 46–56.

Spence, R. J. (2007). Expanded transposition flap technique for total and subtotal resurfacing of the face and neck. Journal of Burns and Wounds, 6, e8.

How would you treat frostbite of the nasal tip?

Pediatric electrical burns of the lip: Discuss incidence and management.

Reference(s):

Umstattd, L. A., & Chang, C. W. D. (2016). Pediatric Oral Electrical Burns: Incidence of Emergency Department Visits in the  United States, 1997-2012. Otolaryngology–Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 155(1), 94–98.

How do you know if a burn patient has an inhalation injury? How would manage a suspected inhalation injury?

Reference(s):

Cancio, L. C. (2009). Airway management and smoke inhalation injury in the burn patient. Clinics in Plastic Surgery, 36(4), 555–567.

Toon, M. H., Maybauer, M. O., Greenwood, J. E., Maybauer, D. M., & Fraser, J. F. (2010). Management of acute smoke inhalation injury. Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine, 12(1), 53–61.

Discuss treatment of skin graft donor sites.

Reference(s):

Voineskos, S. H., Ayeni, O. A., McKnight, L., & Thoma, A. (2009). Systematic review of skin graft donor-site dressings. Plastic and Reconstructive Surgery, 124(1), 298–306.