Guest guest Posted February 5, 2007 Report Share Posted February 5, 2007 A frequent question on both initial training examinations and the NR exam (I'm guessing here) has to do with estimating the percentage of burn on a patient. Students always have a hard time remembering the adult and pediatric formulas. Question: Is there any relevance to pre-hospital care in being able to choose 27% rather than 36% from four possible answers? Question: How accurate are estimations of burned surface when done by (1) medics, (2) ER nurses, and (3) ER docs. Question: Can we develop simpler criteria to use in determining which patients need transportation to a burn center than percentage estimates? Question: Is the percentage question anything more than a pedantic exercise in rote memory? Inquiring minds want to know! Gene Gandy In the drinking well Which the plumber built her Aunt Eliza fell. We must buy a filter. --Harry Graham Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2007 Report Share Posted February 5, 2007 Gene, I'll answer: 1) Medics: Really accurate when one WHOLE part of the body is burned...we can add 9's and 18's well....but when it is the anterior surface of the arm and some on the forearm...well..... 2) ER Nurses: See #1 but change it by 8 to 10% to make the medic look wrong. 3) ER docs: See #2 and add or subtract some % points for the same reason...realizing nothing matters because the burn center is going to make them all look wrong Bring them all there to be evaluated...or ask the burn center which ones they want...let them set the definitions...they know best Dudley Percentage of burns A frequent question on both initial training examinations and the NR exam (I'm guessing here) has to do with estimating the percentage of burn on a patient. Students always have a hard time remembering the adult and pediatric formulas. Question: Is there any relevance to pre-hospital care in being able to choose 27% rather than 36% from four possible answers? Question: How accurate are estimations of burned surface when done by (1) medics, (2) ER nurses, and (3) ER docs. Question: Can we develop simpler criteria to use in determining which patients need transportation to a burn center than percentage estimates? Question: Is the percentage question anything more than a pedantic exercise in rote memory? Inquiring minds want to know! Gene Gandy In the drinking well Which the plumber built her Aunt Eliza fell. We must buy a filter. --Harry Graham Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 Gene, When you come down to do our training I challenge you to use pedantic exercise in 10 different sentences over the two day period. Henry Percentage of burns A frequent question on both initial training examinations and the NR exam (I'm guessing here) has to do with estimating the percentage of burn on a patient. Students always have a hard time remembering the adult and pediatric formulas. Question: Is there any relevance to pre-hospital care in being able to choose 27% rather than 36% from four possible answers? Question: How accurate are estimations of burned surface when done by (1) medics, (2) ER nurses, and (3) ER docs. Question: Can we develop simpler criteria to use in determining which patients need transportation to a burn center than percentage estimates? Question: Is the percentage question anything more than a pedantic exercise in rote memory? Inquiring minds want to know! Gene Gandy In the drinking well Which the plumber built her Aunt Eliza fell. We must buy a filter. --Harry Graham Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 On the NR exam you have to watch for words like: Front Half, or medial to ... Those are the questions I see many personnel missing. I will have to agree with Dudley's assessment with one addition, We don't do the calculations enough usually to be precise. In the field we are mostly concerned with: 1. Is the patient breathing? 2. When will the patient stop breathing? 3. This really looks nasty. Although it may look somewhat stupid a quick reference guide will usually get you very close to what your patient actullay is. On the question of taking to a Burn Center, it depends upon where you are located. There is only one hospital in the Panhandle for Burns: Lubbock Texas. I don't know of any transports unless it may be less than 25% of BSA (and that is if the face, arms, hands, or legs are not included) that would not be transported to a burn unit. Staffing, and knowledge of burns and burn victims is the reason for the transports. Many will die of infections and not the burns themselves. THEDUDMAN@... wrote: Gene, I'll answer: 1) Medics: Really accurate when one WHOLE part of the body is burned...we can add 9's and 18's well....but when it is the anterior surface of the arm and some on the forearm...well..... 2) ER Nurses: See #1 but change it by 8 to 10% to make the medic look wrong. 3) ER docs: See #2 and add or subtract some % points for the same reason...realizing nothing matters because the burn center is going to make them all look wrong Bring them all there to be evaluated...or ask the burn center which ones they want...let them set the definitions...they know best Dudley Percentage of burns A frequent question on both initial training examinations and the NR exam (I'm guessing here) has to do with estimating the percentage of burn on a patient. Students always have a hard time remembering the adult and pediatric formulas. Question: Is there any relevance to pre-hospital care in being able to choose 27% rather than 36% from four possible answers? Question: How accurate are estimations of burned surface when done by (1) medics, (2) ER nurses, and (3) ER docs. Question: Can we develop simpler criteria to use in determining which patients need transportation to a burn center than percentage estimates? Question: Is the percentage question anything more than a pedantic exercise in rote memory? Inquiring minds want to know! Gene Gandy In the drinking well Which the plumber built her Aunt Eliza fell. We must buy a filter. --Harry Graham Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2007 Report Share Posted February 6, 2007 That won't be hard!!! GG > > Gene, > > When you come down to do our training I challenge you to use pedantic > exercise in 10 different sentences over the two day period. > > Henry > Percentage of burns > > A frequent question on both initial training examinations and the NR exam > (I'm guessing here) has to do with estimating the percentage of burn on a > patient. Students always have a hard time remembering the adult and > pediatric > formulas. > > Question: Is there any relevance to pre-hospital care in being able to > choose 27% rather than 36% from four possible answers? > > Question: How accurate are estimations of burned surface when done by (1) > medics, (2) ER nurses, and (3) ER docs. > > Question: Can we develop simpler criteria to use in determining which > patients need transportation to a burn center than percentage estimates? > > Question: Is the percentage question anything more than a pedantic exercise > in rote memory? > > Inquiring minds want to know! > > Gene Gandy > > In the drinking well > Which the plumber built her > Aunt Eliza fell. > We must buy a filter. > --Harry Graham > > Quote Link to comment Share on other sites More sharing options...
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