Paediatric Burns, Safeguarding & Toxic Shock

Chapter 28 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

23 viva questions in this chapter

1. A two-year-old is brought in with a scald. Why can’t I just treat her as a small adult?
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2. What is the first aid, and what is the risk of doing it properly?
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3. How would you estimate the burn size in this child?
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4. When would you refer this child, and to where?
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5. This is a 12 kg two-year-old with a 15% scald. Take me through your fluid prescription.
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6. How do you know your resuscitation is working?
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7. How would you manage this child’s pain, and the dressing change?
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8. A five-year-old with a 3% mixed-depth scald to the chest. This is not a resuscitation burn. What now?
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9. Which dressing, and what is your evidence?
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10. When would you use laser Doppler imaging, and when would you take her to theatre?
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11. Take me through paediatric burn surgery. What is different?
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12. What features of a burn would raise your concern about non-accidental injury?
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13. What do you mean by developmental plausibility?
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14. How common is this? What proportion of paediatric burn admissions are abusive?
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15. Take me through what you actually do, in order, on the day.
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16. What is the legal and statutory framework you are working within?
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17. The child missed her last two appointments. How do you record that?
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18. The mother asks you directly: “Do you think I did this?” What do you say?
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19. A two-year-old had a 4% scald four days ago and was discharged. She is back with a fever of 39.2, a rash and vomiting. What is going on?
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20. What are the diagnostic criteria?
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21. What is the incidence?
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22. How would you manage her?
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23. This child has a 25% burn at the age of three. What does the next fifteen years look like?
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