BURNS AND INHALATION INJURY



Goals and Objectives

Goals

  • Resident will be comfortable with initial evaluation and basic management of patients with burns

Learning Objectives

  • Resident will be able to list and describe the different categories of burns
    • Thermal
    • Chemical
    • Electrical
  • Resident will be able to estimate the percent of body surface area (%BSA) of burn
    • Resident will be able to describe the depths of burns
  • Resident will be apply the modified Parkland formula to the appropriate patient population
  • Resident will be familiar with the concept of “fluid creep”
  • Resident will be able to recognize common indications for intubation in burn victims
    • Shortness of breath
    • Facial/mucosal burns/edema
    • Singed facial/nasal hair
    • Stridor / Wheezing (late findings)
  • Resident will be familiar with severe complications of thermal burns and the appropriate treatment
    • Airway edema --> Early definitive airway (as indicated)
    • Carbon Monoxide --> Oxygen (+/- hyperbaric)
    • Compartment syndrome --> Fasciotomy
    • Dehydration/AKI --> IVF (Parkland Formula)
    • Infection --> Antibiotics
    • Rhabdomyolysis --> IVF
  • Resident will be able to list initial and specific treatments for chemical burns
  • Resident will be to list criteria and injury pattern associated with high-voltage electrical burns
  • Resident will be to list the indications for referral to a burn center (from ABA Referral Criteria)
Recommended Resources

Prior to Conference

Additional Resources

Overview
Burn Calculators/Tools
Complications/Associated Injuries
Textbooks
  • Total Burn Care (Herndon)










Original Post by Eric Shappell on 7/23/2014
Reviewed by James Ahn on 7/26/2014
Last Updated by Eric Shappell on 12/09/2014 Contact / Feedback