March 2017

You are asked to assess a 24-year-old male who has been admitted to the Emergency Department with 30% burns from a house fire.
a) What clinical features would lead you to suspect significant inhalational injury? (10 marks)
b) List the indications for early tracheal intubation to secure the airway. (4 marks)
c) Which investigations would you use to assess the severity of the inhalational injury (3 marks) and what are the likely findings? (3 marks)
Pass rate 57.9%
This is an important topic that candidates should be expected to know. Some candidates placed too much emphasis on history when answering part a which actually asked for clinical features, and also tended to repeat their answer to part a when answering part b.
March 2013

You are asked to assess a 24-year-old male who has been admitted to the Emergency Department with 30% burns from a house fire.

a) What would lead you to suspect significant inhalational injury? (40%)

b) Which investigations would you use to assess the severity of the inhalational injury and what are the likely findings? (30%)

c) List the indications for early tracheal intubation to secure the airway. (20%)

d) How do burns injuries influence the use of suxamethonium?(10%)
64.2% pass rate.

Section a) required details of the history (burn received in enclosed space / delayed escape), general observations, features of upper and lower airway injury and harm from noxious gases.
October 2008

A 70 kg, 30 year-old man presents with burns following a house fire. The burns are confined to his torso and upper limbs, but exclude his head and neck.

a) State the Parkland formula used for burns fluid resuscitation. (10%)

b) His burns are estimated at 40% of his body surface area. Using the Parkland formula, what volume of which fluid will he require in the first 8 hours after injury? (10%)

c) What additional fluids in excess of the volume predicted in (b) might he require and why? (25%)

d) What monitoring and investigations are required in the first 24 hours? (45%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2005

You are asked to see a 45 year old man in the Emergency Department who has suffered 30% burns.

What factors in the history would suggest that he has suffered a significant inhalational injury? (25%)

What symptoms, signs and results of laboratory tests would confirm your suspicions? (75%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2001

Outline the early management of a one year old child with 25% burns caused by scalding.
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question