Paediatric Burns: Early Management and the Airway — Board-Style Questions

What this deck covers

Paediatric Burns: Early Management and the Airway in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. The bag from the freezer
2. What comes off, what stays
3. The journey in the cold
4. Round and round the arm
5. Under the white paste
6. Three tense domes
7. Soot at the nostrils
8. All four in one roll
9. How long to leave it
10. The breaths get harder
11. Cold fingers, four hours on
12. What tells you it is enough
13. He cries when you walk past
14. A jug held ready
15. Two small marks
16. Pink yesterday, mottled today
17. Small, but where it is
18. The protocol says twenty

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Give warmed fluid by vein, Secure the airway now, while it is still easy to do, The bandage should be tighter, Deeper sedation and a muscle relaxant, His blood pressure, Fanning cool air across it, Brush the dry material off the skin, then irrigate, Refer him only if he becomes unable to pass urine, As soon as the pain has settled.

Clinical pearls from this deck

• Twenty minutes of cool water. Nothing from the freezer, ever.
• Soaked clothing off in seconds. Fused clothing stays until theatre.
• Cool the burn, warm the child. Small children cool faster than you expect.
• Lengthways, not round. A wrapped limb has a tourniquet on it by arrival.
• Whatever was put on at home comes off, or nobody can assess anything.
• Do not open tomorrow’s wound today.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all emergency and critical care case decks · pediatric reference values.