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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
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\usepackage{amsmath}            % Symbols
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%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{kchandler1142}
\pdfinfo{
  /Title (burns.pdf)
  /Creator (Cheatography)
  /Author (kchandler1142)
  /Subject (Burns Cheat Sheet)
}

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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Burns Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{kchandler1142} via \textcolor{DarkBackground}{\uline{cheatography.com/194203/cs/40778/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}kchandler1142 \\
  \uline{cheatography.com/kchandler1142} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 12th October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{What are burns caused by?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{- Burns are injury caused by direct damage to tissue from exposure to:} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{1. Sun} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{2. Chemicals} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{3. Thermal (e.g.. Fire or burning liquids)} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{4. Electricity} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Thermal Burns}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{MOST COMMON}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Due to exposure to dry heat (flames) or moist heat (steam, hot liquids)} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Severity depends on how hot it was and how long it was in contact with skin.} \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Chemical Burns}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Dangerous chemicals are found in homes and businesses.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Acid, chem. to unclog sinks, cement, cleaners} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\{\{bb\}\} May cause local tissue damage or system tox.} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{NURSING IMPLICATIONS}}} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Remove chemical from contact with the skin ASAP} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
1.Remove nonadherent clothing. & 2. Flush chem from wound ASAP. \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Burns}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{ "Iceberg effect"}}  \{Severity is diff to determine since most damage occurs under the skin.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Priority: Manage Airway}}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{} \tn 
% Row Count 3 (+ 0)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Affects \& Assessments}}...} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} \{\{fa-heart\}\} Heart} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-heart\}\} Life threatening dysrhythmias or Cardiac Arrest....  \{\{fa-check\}\} {\bf{Heart monitor}}} \tn 
% Row Count 7 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} Muscles and Bones} \tn 
% Row Count 8 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Fractures.}} Electrical current can cause muscle contractions strong enough to fracture long bones and vertebrae \seqsplit{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} \{\{fa-check\}\}{\bf{Stabilize Cervical Spine}} to prevent further injury. \{\{fa-check\}\}Assessment of {\bf{extremity movement}} will provide baseline data.} \tn 
% Row Count 14 (+ 6)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Rhabdomyolysis:}} Muscle tissue breakdown that results in the release of a protein (myoglobin) into the blood which can damage kidney} \tn 
% Row Count 17 (+ 3)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} Kidney Failure} \tn 
% Row Count 18 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Myoglobinuria}} due to Rhabdo. \{Damaged muscles release {\bf{myoglobin}} and damaged RBCs release {\bf{hemoglobin}} \{\{fa-arrow-right\}\}   Myo \& Hemo block tubules. \{\{fa-arrow-right\}\} AKI, acute tubular necrosis.} \tn 
% Row Count 23 (+ 5)
% Row 11
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Myoglobinuria indicated w/ dark urine.} \tn 
% Row Count 24 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} Rhabdo \textgreater{} Myoglobinuria \textgreater{} AKI \& ATN} \tn 
% Row Count 26 (+ 2)
% Row 13
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} Monitor Urine output (Kidney Function) \_\_\_\_\_\_\_\_\_\_\_\{\{fa-check\}\}Adequate U/O during emergent phase: 0.5 to 1 \seqsplit{mL/kg/hr\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_} \{\{fa-check\}\} IV Fluids} \tn 
% Row Count 30 (+ 4)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Burns (cont)}}  \tn
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\emph{Renal failure can occur in {\bf{full-thickness}} burns as well}}} \tn 
% Row Count 2 (+ 2)
% Row 15
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\{\{fa-arrow-right\}\} Metabolic Acidosis} \tn 
% Row Count 3 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Metabolic acidosis due to cellular hypoxia and increasing breakdown in renal and hepatic function. Can lead to shock or death. \{\{fa-check\}\}Can treat w/ IV sodium bicarbonate.} \tn 
% Row Count 7 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Classification of Burn Injury:}}  \tn
% Row 0
\SetRowColor{LightBackground}
Depth of burn & \% of TBSA \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Location & Assoc. Injuries \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Pre-existing} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Degrees of burns (depth of burn damage)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{1st Degree (superficial)}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}affects the top layer of the skin (epidermis)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{2nd Degree (partial-thickness)}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}can be superficial or deep partial-thickness affecting various layers of the dermis.} \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{3rd Degree (Full-thickness)}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}all skin layers are damaged along with the hair follicles, sweat glands, and nerves.} \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{4th Degree (deep full-thickness)}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}worst of all. All layers are destroyed but it extends to the muscles, bone, and ligaments... all sensation of pain is gone.} \tn 
% Row Count 12 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Eschar}} is another name for full-thickness nonviable burn tissue. \newline  \newline Lund-Browder chart (more accurate)  \newline Rule of Nines (Used for initial assessment)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Risks with locations of burns}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Face, neck, circumferential torso}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}-May interfere w/ {\bf{gas exchange.}} (Leathery eschar, edema) - {\bf{Circumferential extremity}} burns can impair fusion distal to the injury. {\bf{(Monitor Pulses)}}} \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Hands, feet, joints}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}-Limit mobility and function.} \tn 
% Row Count 7 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Ears, nose, buttocks, perineum}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}-High risk for {\bf{infection}}} \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.78712 cm} x{2.18988 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Risks with Preexisting Health Issues:}}  \tn
% Row 0
\SetRowColor{LightBackground}
Pre-ex. heart, lung, or chronic diseases & - contribute to poorer prognosis \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
DM \& Peripheral vascular disease & - high risk for delayed healing \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Prehospital \& Emergency Care}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{1. Scene safety is a priority.}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{2. Remove from source of burn and stop burning process.}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}- Flushing wounds w/ copious amounts of water minimize depth of injury.} \tn 
% Row Count 5 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{3. Wrap in dry, clean sheet or blanket.}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}- This {\bf{prevents wound contamination}} and {\bf{provides warmth}}. Moist dressing can reduce pain but may cause {\bf{hypothermia}}.} \tn 
% Row Count 9 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{4. Pt. may have other injuries that are priority over burn!}}} \tn 
% Row Count 11 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{5. EMS must fully explain injuries.}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}- Any hazardous chemicals involved or any {\bf{Traumatic injuries}} (e.g., fall)} \tn 
% Row Count 14 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.51041 cm} x{1.3731 cm} x{1.69349 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Stages of Burn Assessment/Care}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{1. \seqsplit{Emergent/Resuscitative} Phase }} & 24-48 hours. &  \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{2. Acute Phase}} & 48-72 hours/wound starts to heal. & Starts w/ diuresis - Ends w/ closure of wound \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
{\bf{3. Rehab Phase}} & May be years. & Begins w/ wound closure - ends w/ patient at highest level of functioning. \tn 
% Row Count 13 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}