ATLS: THERMAL INJURIES QUESTIONS AND
ANSWERS
The major principles of thermal injury management includeJmaintaining a highJindex of
suspicionJfor the pre sence of following smoke inhalation and secondary to burn edema;
identifying and managing a ssociatedJmechanical injuries; maintaining hemodynamic normality
withJvolumeJresuscitation; controlling t emperature; andJremoving the patient from the in-
jurious environment. - correct answer-
airway compromise
Clinicians alsoJmust take measures toJprevent and treat the potential com-
plications of specific burn injuries. Examples includeJ , which can beJassociated with
electrical bur ns; extremity or truncal compartment syndrome, which can occur with
largeJburnJresuscitations; andJocular i njuries due toJflames or explosions. - correct answer-
rhabdomyolysis and cardiac dysrhythmias
The mostJsignificant difference between burns and other injuries is thatJthe consequences of
burnJinjury are d irectly linked to theJ-Jcorrect answer-extentJof the inflammatory response to
the injury
Airway injury in burns may develop over time and not be immediately present compared toJother
trauma, thi s is dueJto the process of - correctJanswer-edema
Burn injury hypovolemia is due to the inflammatory changes and leakJ- correct answer-
capillary
The goal of burn resuscitation is to maintain intravascular fluid in theJface of an ongoing
.
Whereas theJother trauma stops theJleak and fills vascular space. - correctJanswer-leak
AreJburn injuries dirty orJclean? - correct answer-Clean (the heat killed the bacteria)
Stridor occurs late and indicates theJneed for - correct answer-immediateJintubation
Transfer patient to burnJcenter with inhalation injury but first - correct answer-intubate the patient
Early intubationJis indicated for full thickness circumferential burnsJ- correct answer-neck
ANSWERS
The major principles of thermal injury management includeJmaintaining a highJindex of
suspicionJfor the pre sence of following smoke inhalation and secondary to burn edema;
identifying and managing a ssociatedJmechanical injuries; maintaining hemodynamic normality
withJvolumeJresuscitation; controlling t emperature; andJremoving the patient from the in-
jurious environment. - correct answer-
airway compromise
Clinicians alsoJmust take measures toJprevent and treat the potential com-
plications of specific burn injuries. Examples includeJ , which can beJassociated with
electrical bur ns; extremity or truncal compartment syndrome, which can occur with
largeJburnJresuscitations; andJocular i njuries due toJflames or explosions. - correct answer-
rhabdomyolysis and cardiac dysrhythmias
The mostJsignificant difference between burns and other injuries is thatJthe consequences of
burnJinjury are d irectly linked to theJ-Jcorrect answer-extentJof the inflammatory response to
the injury
Airway injury in burns may develop over time and not be immediately present compared toJother
trauma, thi s is dueJto the process of - correctJanswer-edema
Burn injury hypovolemia is due to the inflammatory changes and leakJ- correct answer-
capillary
The goal of burn resuscitation is to maintain intravascular fluid in theJface of an ongoing
.
Whereas theJother trauma stops theJleak and fills vascular space. - correctJanswer-leak
AreJburn injuries dirty orJclean? - correct answer-Clean (the heat killed the bacteria)
Stridor occurs late and indicates theJneed for - correct answer-immediateJintubation
Transfer patient to burnJcenter with inhalation injury but first - correct answer-intubate the patient
Early intubationJis indicated for full thickness circumferential burnsJ- correct answer-neck
