Derm: A Clinician's Guide to Burns: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Burns: Assessment, Management & Key Pitfalls🔥 Everything you need to know for MSRA exams and UK clinical practice – from first aid to complications, and the signs you must never miss.🧠 Key Learning Points📌 Definition• Burns = skin or tissue injury from heat, chemicals, electricity, radiation, or friction• Damage ranges from superficial redness to full-thickness necrosis📌 Causes & Risk Groups• Thermal: flames, scalds, hot objects• Chemical: acid, alkali• Electrical• Radiation: sunburn• At-risk: young children (<5), older adults (>75), those with mobility/cognitive issues, crowded/unsafe homes📌 Pathophysiology• Direct tissue damage, inflammatory cascade, possible systemic effects in severe burns• Deep burns destroy nerves – may be less painful than shallow burns!📌 Classification by DepthSuperficial (epidermal): red, painful, no blisters (e.g. sunburn)Superficial dermal (partial thickness): pink/red, very painful, blisters, blanchesDeep dermal: pale/patchy, ↓ sensation, poor blanching, large blistersFull thickness: white, waxy, charred, painless (nerves destroyed), no blanching or blisters📌 Assessment• ABCDE approach for serious burns• Assess depth, % Total Body Surface Area (TBSA) (Rule of Nines in adults)• Check for airway compromise, inhalation injury, circumferential burns (risk of ischaemia)• Always consider non-accidental injury in children📌 Initial ManagementSTOP the burning processRemove clothing/jewellery (unless stuck/melted)Cool the burn with cool tap water for 20 minutes (not ice!)Cover with clean, dry dressing (cling film for small burns)Prevent hypothermia, monitor ABCsEarly referral for severe/complex burns, facial burns, or airway risk📌 Ongoing Management• Wound cleaning & dressing• Analgesia• Tetanus cover• Fluid resuscitation (Parkland formula) for major burns• Monitor for infection, regular wound reviews• Specialist care for deep or large burns, airway risk, electrical/chemical burns, or children📌 Complications• Early: Airway compromise, shock (fluid loss), infection/sepsis• Late: Scarring, contractures, chronic pain, psychological trauma• Specific: Rhabdomyolysis (electrical burns), renal failure, DVT/PE, hypertrophic/keloid scarring📌 Prognosis• Minor burns: heal well, minimal scarring• Severe burns: risk depends on age, %TBSA, inhalation injury• Long-term: rehabilitation for function, appearance, and mental health📎 More MSRA Resources for Burns📝 Revision Notes: https://www.passthemsra.com/topic/burns-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/burns-flashcards/💬 Accordion Q&A: https://www.passthemsra.com/topic/burns-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/burns-rapid-quiz/🧪 Topic Quiz: https://www.passthemsra.com/quizzes/burns/🎓 Dermatology Course: https://www.passthemsra.com/courses/dermatology-for-the-msra/🌍 Find 1,000s more free and premium revision tools at:👉 https://www.passthemsra.com#MSRA #Burns #Dermatology #MSRAFlashcards #MSRAQuiz #MSRAQandANotes #MSRAAccordions #MSRARevisionNotes #MSRATextbook #MedicalRevision #PassTheMSRA #FreeMSRA