SAQ 584 – Trauma – major petrol burn with fluid resuscitation

Marked out of 18.00

An 18-year-old man is transferred by ambulance to your rural emergency department after a self-inflicted petrol burn injury two hours earlier. He was intubated at the scene by an intensive care paramedic. The clinical photograph is shown below.

Clinical photograph of an intubated patient with extensive burns.
Burn photograph

List four (4) important features of the burns.

(Marked out of 4.0)


/ 4

List four (4) predictable important complications.

(Marked out of 4.0)


/ 4

After full examination, the burn is estimated at 80% total body surface area. He has received 2 L normal saline in the first two hours, BP is 100/60 mmHg, pulse is 80/min, and weight is 70 kg. Calculate his fluid requirement for the first 24 hours and show your calculation.

(Marked out of 2.0)


/ 2

Prescribe his fluid treatment for the first eight hours.

(Marked out of 4.0)


/ 4

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

(Marked out of 4.0)


/ 4

Total Score: 0 / 18

Percentage: 0%

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