Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2025 - Burns
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Jan 2, 2025 Dive into the world of burns as hosts break down the complexities of burn depth classification and the crucial rules of nines. They discuss fluid resuscitation formulas like Parkland and highlight the importance of monitoring urine output. The dangers of inhalation injuries and the treatment of carbon monoxide and cyanide exposure in burns are also covered. Plus, learn about skin graft types and frostbite management. Quick clinical pearls provide listeners with fast, essential tips to enhance their surgical knowledge!
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Burn Depths By Layer
- Burn depth maps to layers: first degree is epidermis only while third degree destroys the entire dermis.
- Fourth-degree burns extend to muscle or bone and represent full-thickness destruction beyond skin.
Three Zones Of Burn Injury
- Burns have three histologic zones: hyperemia, stasis, and coagulation with differing viability.
- The zone of coagulation is irreversibly damaged while the zone of stasis is salvageable but at risk.
Estimate Burn Size Quickly
- Use Rule of Nines to estimate adult TBSA: each upper extremity 9%, anterior trunk 18%, posterior trunk 18%, each lower extremity 18%, genitalia 1%.
- Apply the patient's palm as ~1% for smaller surface-area estimates.
