A 30 year old man is brought into Resus having had a fight with his partner, who boiled a kettle and threw the contents over his chest.The registrar is busy and it is up to you to manage the case. You feel he has a 15% burn covering his chest and left arm.

Questions

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What are the different depths of a burn and how is each defined?

  2. What percentage of Burn Surface are is assigned to the following in an adult:

    a) Head?

    b) Chest?

    c) Arm?

  3. What are the criteria for referral to a burns specialist centre?

  4. How do you calculate the fluid requirements in a patient with burns? Assuming this man weighs 70kg what is his fluid requirement (show your working). This is a very common part B question.

  5. What analgesia would you use in a child with severe burns?

  6. Within what period is it beneficial to apply cold water to a burn and why?

  7. Why do we apply cling film to burns injuries?

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