Burn Treatment Critical Care Board Review Questions | CME Quick Quiz

Kathryn Butler, MD, FACSEmergency Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

burn treatment CME quiz

Burn Treatment Critical Care

Board Review Questions of the Week
Burns are a leading cause of accidental injury and death in the United States and worldwide. Each year approximately one million people in the United States seek medical care for burns, approximately one-third of these in the emergency department . Although the vast majority of injuries do not require hospitalization, severe burns can lead to significant morbidity and death. It is a widely accepted fact that severe fluid loss is the greatest problem faced following major burn injuries. Therefore, effective fluid resuscitation is one of the cornerstones of modern burn treatment. Appropriate fluid management of major burns directly improves the survival rates of burn patients. Test your knowledge of critical care for burn treatment with these critical care questions, courtesy of Med-Challenger online medical education.

Try this critical care burn treatment board review sample question...

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Critical Care Burn Treatment Case:

A 46-year-old man weighing 85 kg with no past medical history is brought in by paramedics after sustaining extensive burn injuries in a brush fire.

He was clearing brush in his yard when the blaze spread out of control and his clothing caught fire.

By the time his family heard his cries and helped him extinguish the flames, he had sustained burns to much of his torso and the lower half of his body.

On examination, he is awake and alert, but he is yelling in pain.

Vital signs are:

  • temperature 35.6 °C (96.1 °F),
  • heart rate 120 beats/minute (sinus tachycardia),
  • blood pressure 90/60 mmHg,
  • respiratory rate 24 breaths/minute,
  • oxygen saturation 98% on room air.

Exposure reveals deep second- and third-degree burns to the entirety of both his legs circumferentially and bilaterally, as well as to his genitalia, his abdomen to the costal margins of the rib cage, and his entire back.

His arms, chest, neck, face, and head are spared.

Question:

As you initiate burn treatment, what is the most appropriate fluid-management strategy in this patient?

Answer Options:

normal saline at 1360 mL/hour for 8 hours, then 680 mL/hour for 16 hours.

lactated Ringer solution at 1360 mL/hour for 8 hours, then 680 mL/hour for 16 hours.

normal saline at 978 mL/hour for 8 hours, then 489 mL/hour for 16 hours.

lactated Ringer solution at 978 mL/hour for 8 hours, then 489 mL/hour for 16 hour.


See the answer...


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