Guys, can you help me with this case please...?

Question

leaking gas tank which suddenly exploded at 6pm. The patient was brought to the ER at 11pm unconscious with 1st degree burns on the lower extremities, 2nd degree burns at the head and neck area and 3rd degree burns at the chest, abdomen and both upper extremities. BP – 110/80, HR 98, RR – 27, T-36C
1. what is your impression?
2. what is the TBSA injured?
3. what are your admitting orders?
4. what is the total fluid requirement of this patient? How will you give it and why?
5. what is Parkland’s formula?
6. what other measures can you do?
7. will you give analgesics? why? How will you give it?
8. how will you monitor this patient?
9. when will you refer this patient to your Resident?
10. did you rule out smoke inhalation syndrome?what is this?
11. how frequent should you do debribement?
12. what are the complications of her injuries?
13. what is the most common cause of death following this type of injury?
14. what bacteria will grow on this type of injury?
15. what are the4 criteria for admission to a burn center?
16. what is marjolin’s ulcer?
17. what is the difference between keloid and hypertrophic scar?
18. what is contracture? How do you treat this? How do you prevent this?
19. will you refer the patient to rehab med?
20. what topical antibiotics will you give? Side-effects?
21. anything else that can be done to save this patient?
22. what is the danger of electrical burns? Chemical burns?
23. what is burn wound sepsis? How will you recognize it?
24. what is skin grafting?
25. what is full thickness skin grafts? Partial thickness skin grafts?
26. what is a dermartome? What are the types?
27. what is “take”?
28. what is Curling’s ulcer? How will you prevent this?
29. will you refer this patient for psychiatric evaluation?
30. what are your comments regarding the case?
31. present a journal or article regarding this case in 10 minutes?

Answer 1

2---(81 as per Wallace`s rule of nine) 3- more than10 pints in
24 hrs iv 5-- Haif`s formula 7--no analgesics to the unconscious 9-- stat , 10 RR rules it out. 11-- just once, 12 -- sepsis shock 13)septicemic shock., 14-- Pseudomonas , Salmonella, 16 -- ulcer on scar 17 -- keloid is partly genetically determined , hypertrophic scar caused by delay in healing , 18 -- shortened mucle ,tendon , treated by tendon lengthening surgery , 19-- certainly , 20 -- soframycin, cotrimoxazole, metronidazole powder ointment , 22 - shock death ,organ poisoning , 26 -- skin muscle nerve supply from same spinal segment , 28-- acute gastric ulcer in burns 29 - later 30-- bad prognosis

Answer 2

I think this one's had enough wouldn't you say....
Call Doctor Murphy ask him politely if he'll come pay him well and talk about this one in front of the patient as little as possible right?

I'm here playing the part of layman so you may want to ask your regular Doctor this one give him or her the same list and see what they say.