Burns

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1.  What is happening biochemically in the zone of stasis and how can you reverse it?

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2.  How does the immune system react to a burn?

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3.  Review the Parkland, Moore, Evans, Brooke and hypertonic saline formulas.  What is the rationale for the differences?

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4.  What are some common nutritional formulas?

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5.  What should one do with blisters today?  (PRS 1980; 65:798)

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6.  What are the advantages and disadvantages of sulfamylon, silvadene, and silver nitrate?

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7.  Should you give a burn patient antibiotics?

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8.  What are the principles of the treatment of a burned hand?

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9.  How should the burned face be treated?  (PRS 1991; 88:83)

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10.  Robson says burns should be cooled.  Why?  (PRS 1992; 89:1155)

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11.  You overspend your photography budget and the office manager applies 3500 volts of electrical current to your hand.  What will die?  Is tissue loss progressive or is it progressive recognition by the surgeon?  (PRS 1988; 82:1027  PRS 1984; 73:431)

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12.  How do you treat oral commissure burns in children?  (PRS 1996; 97:738)

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13.  How do you treat chemical burns caused by hydrofluoric acid, phenol or phosphorous?

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14.  What happens to the gut in a burned patient?  (PRS 1992; 90:524)

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15.  How long does it take for someone to develop frostbite from cold exposure?

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16.  What is the mechanism of damage to tissue in frostbite?

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17.  What is the protocol for treatment of a frostbite patient?

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18.  Discuss tech-99 scans in electrical injuries.

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19.   a:  How do you know when a burn wound is infected?
       b:  Are cultures representative of deper infection?
       c:  What are the common organisms?
       d:  What is the outcome?

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20.  What is the pathophysiology of inhalation injury above the glottis?  Below the glottis?  Is a lung scan helpful?

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21.  How do you treat an ear burn?

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22.  How much can you excise and graft at one sitting?

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23.  How is cultured skin made?

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24.  Discuss artificial dermises.

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25.  How are burns in children treated differently from adults?

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26.  a:  How long can allograft be stored?
      b:  Can you get AIDS from it?
      c:  How long can extra STSG be stored and how do you do it?

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27.  Should we use porcine autograft?

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28.  How do you treat a cervical contracture?

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