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Emergency Management of Thermal Burns and Smoke Inhalation

  • VET WEBINAR
  • Emergency Management of Thermal Burns and Smoke Inhalation
Lädt!
A patient has burns affecting the head, neck and dorsal trunk. Based on the Rule of 9s’ principle, what percentage total body surface area burn is present?
18%
27%
36%
45%
 
If a burn involves the epidermis and the upper dermis, it is considered a:
1st degree burn
2nd degree burn
3rd degree burn
4th degree burn
 
A patient presenting with a second-degree burn injury to the forelimb should receive the following treatment:
Prophylactic amoxicillin-clavulanic acid subcutaneously
Prophylactic amoxicillin intravenously
Topical silver sulfadiazine
None of the above
 
A patient with respiratory distress due to carbon monoxide poisoning will likely have a pulse oximetry reading of:
89%
93%
95%
99%
 
A patient with cyanide toxicity will demonstrate the following:
Abnormal co-oximetry parameters on arterial blood gas
Brown mucous membranes
Metabolic acidosis with hyperlactataemia despite normal perfusion parameters
Bilateral pulmonary infiltrates on thoracic radiography
 
Which of the following is most accurate regarding the management of thermal burns:
Immersion hydrotherapy is recommended in daily wound management
Strict aseptic technique is necessary when performing wound management.
Non-steroidal anti-inflammatories are appropriate first line analgesics in severe thermal burn injury
Rapid cooling of the burn with ice is recommended for at least 10 minutes
 
Cardiovascular instability is expected in patients with thermal burns affecting what minimum percentage total body surface area:
10%
20%
30%
40%
 
What is a potential complication of carbon monoxide toxicity?
Pneumonia
Non-cardiogenic pulmonary oedema
Supraventricular tachyarrhythmias
Seizures
 
What is most accurate regarding fluid requirements of patients with thermal burn injury?
Fluid overload is not a risk due to the excessive loss through burn exudate
Initial fluid estimates suggest 4ml/kg/%TBSA over 24 hours, with 50% of this volume delivered in the first 16 hours.
The Parkland formula is representative of global patient requirements and does not require titration to meet haemodynamic endpoints.
Hypertonic saline is preferred to promote movement of interstitial oedema into the intravascular space.
 
A 10y FS Border Collie is rescued from a house fire. What is the first priority in assessing the patient?
Assessing the airway for evidence of laryngeal oedema and upper airway swelling
Assessing temperature for evidence of hyperthermia
Clipping the patient to assess for occult thermal burn injury
Performing thoracic radiographs to assess for pneumonia or non-cardiogenic pulmonary oedema.