What percentage of joshs body has fully damaged

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Reference no: EM133533409

Case: Long-time friends, Josh and Zach, were camping at a lovely campground in the Rockies. As they are native Floridians, the freezing night time temperatures of the mountains were a bit of a shock. Luckily, they were expert campfire builders and there was plenty of really pitchy (loaded with highly flammable resin) pine wood around. They built a roaring fire, then crawled into their sleeping bags by the fire, feeling nice and toasty.

Unfortunately, they were too close to the fire and sparks shot out, catching Josh's bag on fire. As the fire spread through the bag, Zach awoke to Josh's screams. Zach immediately ran to assist and managed to put out the fire and get Josh out of the burning bag - what remained of it. Unfortunately, as the bag was made of a synthetic material, it melted and stuck to both Josh and Zach. Thus, while Josh suffered the greatest injuries, Zach did not emerge unscathed.

Fortunately, there were paramedics camping in a nearby site, who were able to help. Emergency help arrived, whisking the two friends off to the local hospital for treatment. Both survived, but decided never to sleep by a fire - and to get safer sleeping bags. (You didn't think they'd give up camping... right?)

Here is what the medical record showed:

Josh: 2nd degree burns to his anterior chest (luckily the lower half of his trunk and his legs were unscathed because of his high-waisted sweatpants and wool socks) and entire left brachium (anterior & posterior); 3rd degree burns to his entire right & left antebrachial regions (anterior & posterior, including hands); first degree burns to his face & anterior neck (his hair protected the rest of his head & neck)

Zach: 2nd degree burns to his right and left anterior antebrachial regions, including both palmar surfaces. (His upper halves of his arms were protected by his shirt sleeves.)

Using the Rule of Nines (showing your reasoning/calculations), answer the following:

1. What percentage of Zach's body was covered by burns?

2. What percentage of Josh's body received first degree burns?

3. What percentage of Josh's body received 2nd degree burns?

4. What percentage of Josh's body has fully damaged both the dermis and epidermis?

5. Are Josh's burns considered critical? Why or why not?

6. What is the primary significant risk for Josh one week after the accident? Explain.

7. Josh complains of terrible pain on his chest and left upper arm, but his right antebrachium is not bothering him much. Explain the difference in pain between these burn sites.

8. Though the face represents a small proportion of the body surface, 3rd degree burns to this region are usually considered much more urgently serious than burns to the trunk. Explain.

Reference no: EM133533409

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