ATLS MODULE 9: THERMAL INJURIES QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
Primary Survey and resuscitation of burn patients Correct Answers Stop
the burning process
Ensure airway and ventilatory adequacy
Manage circulation
How to stop the burning process Correct Answers -completely undress
patient
-Prevent overexposure and hypothermia
-Recognize possibility of wound contamination
-Brush and dry chemical powders from the wound and then rinse.
Factors that increase the risk of upper airway obstruction Correct
Answers -Increasing burn size and depth
-Burns to the head and face
-Inhalation injury
-burns inside the mouth
-Age: children with burn injures are at higher risk for airway problems
AIRWAY considerations in burn patients Correct Answers Look for
early indication for intubation!
Reassess frequently
, BREATHING considerations in burn patients Correct Answers -
Hypoxia could be related to:
inhalation injury, circumferential chest burns, or thoracic trauma
unrelated to the thermal injury.
-Administer supplemental oxygen with or without intubation.
-Look out for Carbon Monoxide poisoning. Look for baseline levels.
Assume in pts who were burned in enclosed areas. Provide 100% O2 via
non-rebreather.
Ensuring adequate ventilation: Correct Answers Obtain baseline CXR
and ABGs
Provide supportive treatment
Intubate pts with significant burns
Elevate the patients head and chest 30 degrees to reduce edema (when
appropriate/c-spine injury ruled out)
CIRCULATION considerations in burn patients Correct Answers -Treat
shock according to ATLS principles
-Replace ongoing fluid losses from inflammation
-Provide burn resuscitation fluids for deep partial and full-thickness
burns larger than 20% TBSA.
-Establish 2 large bore IVs in peripheral veins. Consider central venous
catheter or IO if you can't get IVs. UE preferred. Note- edema can
dislodge IVs.
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
Primary Survey and resuscitation of burn patients Correct Answers Stop
the burning process
Ensure airway and ventilatory adequacy
Manage circulation
How to stop the burning process Correct Answers -completely undress
patient
-Prevent overexposure and hypothermia
-Recognize possibility of wound contamination
-Brush and dry chemical powders from the wound and then rinse.
Factors that increase the risk of upper airway obstruction Correct
Answers -Increasing burn size and depth
-Burns to the head and face
-Inhalation injury
-burns inside the mouth
-Age: children with burn injures are at higher risk for airway problems
AIRWAY considerations in burn patients Correct Answers Look for
early indication for intubation!
Reassess frequently
, BREATHING considerations in burn patients Correct Answers -
Hypoxia could be related to:
inhalation injury, circumferential chest burns, or thoracic trauma
unrelated to the thermal injury.
-Administer supplemental oxygen with or without intubation.
-Look out for Carbon Monoxide poisoning. Look for baseline levels.
Assume in pts who were burned in enclosed areas. Provide 100% O2 via
non-rebreather.
Ensuring adequate ventilation: Correct Answers Obtain baseline CXR
and ABGs
Provide supportive treatment
Intubate pts with significant burns
Elevate the patients head and chest 30 degrees to reduce edema (when
appropriate/c-spine injury ruled out)
CIRCULATION considerations in burn patients Correct Answers -Treat
shock according to ATLS principles
-Replace ongoing fluid losses from inflammation
-Provide burn resuscitation fluids for deep partial and full-thickness
burns larger than 20% TBSA.
-Establish 2 large bore IVs in peripheral veins. Consider central venous
catheter or IO if you can't get IVs. UE preferred. Note- edema can
dislodge IVs.
