MedBugs: SAQ #188

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Case: Major burns and inhalation injury

A 45-year-old woman is brought to the ED after extrication from a house fire with significant burns and smoke exposure.

1. List three characteristic features of full-thickness burns. 3 marks

2. List two methods of calculating the percentage area of burns. 2 marks

3. State your intended plan for fluid management in the first 24 hours of hospitalisation. 2 marks

The patient was exposed to a significant amount of smoke while trapped inside the house.

4. List four possible complications from smoke inhalation and how you will assess for each. 4 marks

You note inadequate perfusion of the patient’s R arm due to a circumferential full-thickness burn.

5. Outline key steps in performing an escharotomy for a circumferential full-thickness burn. 6 marks

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