 | Brain Food is a project to drip feed clinical knowledge (in the form of mock SAQs) to satisfy those hungry neurons. Sources are SA/NT Trial Exam 2020.2 and Monash 2022.1. Answers are prone to ageing. Leave a comment if you don't understand or something doesn't seem right... PS we don't use the mock questions uploaded to ACEMs official mock. |
An 18YO M has been brought into your rural emergency department suffering a mixture of mid-deep dermal burns to his face, left arm and thorax and full thickness burns to his right arm. He was lighting a campfire and poured petrol onto the fire which resulted in his burns. The paramedics report initial first aid was given at the scene. You estimate the extend of the burns to be around 35% Total Body Surface Area. This was an isolated injury, and no other trauma was reported.
His vital signs are:
GCS 15
BP 150/80 mmHg
HR 130BPM
SaO2 98% (room air)
Estimated weight ~80kg
His vital signs are:
GCS 15
BP 150/80 mmHg
HR 130BPM
SaO2 98% (room air)
Estimated weight ~80kg
1. List two (2) features on initial assessment of the airway that would make you concerned for an inhalation injury. (2 marks)
- Soot in the mouth
- Hoarseness or change in voice
- Harsh cough
- Stridor
- Facial burns (especially mouth, lips, nose)
- Inflamed oropharynx
2. State five (5) key principles and a rationale for each in the management and resuscitation of this patient with severe burns EXCEPT for airway management. Please include any interventions, calculations, dosing and targets in your answer.
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