ATLS Thermal and Electrical Injuries 2

Question 1

Using the Parkland formula, what is the 24-hour fluid requirement for a 70 kg patient with 40% TBSA burns?

Accepted Answer

11,200 mL

Answer

5,600 mL

Answer

8,400 mL

Answer

14,000 mL

Question 2

A patient with circumferential full-thickness burns of both legs develops tense compartments and diminished pulses. Treatment?

Accepted Answer

Perform escharotomy

Answer

Increase IV fluid rate

Answer

Apply compression bandages

Answer

Elevate and observe

Question 3

What percentage of TBSA does one patient palm (including fingers) represent?

Accepted Answer

1%

Answer

0.5%

Answer

2%

Answer

3%

Question 4

An electrician sustains high-voltage (>1000V) electrical injury with minimal skin burns. What internal injuries should be suspected?

Accepted Answer

Deep muscle necrosis, cardiac arrhythmias, and rhabdomyolysis

Answer

Only superficial damage

Answer

Isolated nerve damage

Answer

Thermal injury at entry/exit points only

Question 5

Which burn type is characterized by white/waxy appearance, no pain, and no capillary refill?

Accepted Answer

Full-thickness (third-degree)

Answer

Superficial (first-degree)

Answer

Superficial partial-thickness

Answer

Deep partial-thickness

Question 6

A burn patient develops hoarseness, stridor, and carbonaceous sputum 2 hours after a house fire. Most critical concern?

Accepted Answer

Impending upper airway obstruction from inhalation injury

Answer

Carbon monoxide poisoning

Answer

Circumferential chest restriction

Answer

Cyanide poisoning