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Critical Care Paramedic Exam/76 Questions with 100% Accurate Answers
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Critical Care Paramedic Exam/76 Questions with 100% Accurate Answers
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Critical Care Paramedic Exam/76 Questionswith 100% Accurate Answers
1st degree burn - -Epidermis
Redness
Painful
NO BLISTERS
Minimal tissue distruction
-2nd degree burn - -Epidermis and portions of the dermis
Red or pale
Blisters
Extreme pain
-3rd degree burn - -Entire epidermis and dermis
Charred
Dry
Leathery
-4th degree burn - -Visible distruction to bone, muscle tendon, ligament
Black and charred
-Fluid resuscitation needed - -Burns greather than 15-20% BSA
-Rules of nine - -Head and neck-9
Arm-9
Lef-18
Anterior trunk-18
Posterior trunk-18
Perineum-1
-Rule of palm - -Pt palm =1%
-Most accurate chart for BSA - -Lund and Browder
-Minor burns - -Partial thickness less than 15
Age extremes less than 10
Less than 2 of full thickness
-Moderate burns - -Partial thickness of 15-20
Age extreme 10-15
-Major burns - -Partial thickness of more than 25
Age extreme greater than 20
Burns to these locations
, Face, hand, major joints, feet, perinium
Associated with major trauma
Electrical burns
Circumferential burns to chest or extremities
Caustic chemical burns
-Mortality increases 30% - -Inhilation burn injuries
-Baux score - -Age + BSA max score is 124
-Normal COHb - -Less than 10
-Critical COHb - -Greater than 40
-Plasma volume - -4cc/kg/hr lost 30 and up
-Zone of coagulation - -3rd and 4th
Irreversible damage
-Zone of stasis - -2nd
-Zone of hyperemi - -1st
Minimial injury
-Stages of a burn - -Hypovolemic- onset to first 48-72
Diuretic- 48-72 hours after
-Parkland burn formula - -Adult 4cc/kg/bsa divided by 2
8hrs
16hrs
Pedi- 3cc/kg/bsa
-Urine output - -Adult
30-50cc/hr
Adult electrical
75-100cc/hr
Pedi 1cc/kg/hr
Neonate 2cc/kg/hr
-Room temperature for burn pts - -28-33C
-Stevens Johnson - -Less than 10
-Ten - -
-Epidrmal Necrolysis - -Antibiotics/medication induced or related
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