SAQ 469 – Trauma – major self-inflicted petrol burn in a rural ED

An 18-year-old man is transferred by ambulance to your rural emergency department after a self-inflicted petrol burn two hours earlier. He was intubated at the scene by an intensive care paramedic. The clinical photograph is shown below. After full examination the burn is estimated at 80% total body surface area. He has received 2 L normal saline over the first two hours. His blood pressure is 100/60 mmHg and heart rate is 80/min. Assume his weight is 70 kg.

Describe the burn with four (4) relevant findings.

(Marked out of 4.0)

/ 4

List five (5) important complications of this injury.

(Marked out of 5.0)

/ 5

Calculate the first 24-hour fluid requirement. Show your calculation.

(Marked out of 2.0)

/ 2

Prescribe your fluid treatment for this patient.

(Marked out of 2.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Fluid</th> <th>Additives</th> <th>Rate mL/hr</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 2

List four (4) measures for monitoring adequacy of fluid resuscitation.

(Marked out of 4.0)

/ 4

List five (5) indications for transfer to a burns unit.

(Marked out of 5.0)

/ 5

List three (3) key facts you need to convey to his mother.

(Marked out of 3.0)

/ 3

Total Score: 0 / 25

Percentage: 0%