inside this video right here i'm going to talk to you about exactly everything you need to know about burns including the rule of nines let's dive into it i want to help decrease failure rates for nramt for emt school for paramedic school watch these videos watch his content and believe me you will start to understand ems medicine anybody out there that wants to serve their community as an emt or a paramedic should be able to do that and i'm here as a paramedic coach to help you achieve that hey everyone this is paramedic coach and i want to welcome you to our burns video here now if you're new here be sure to smack that subscribe button down below and for everybody watching annihilate smash that like button down below and be sure to hit the notification bell we do giveaways here every single month and we got new content week after week now let's dive into burns now the first thing we to learn about burns is first seconds and third degree burns let's start with the first degree burn now a first degree burn all that is is a superficial like a sunburn meaning the burn does not go past the layer of the skin that we can see with our own eyes now the second degree burn also known as a partial thickness burn okay see what i've written down here first degree burn sunburn second degree burn ouch third degree burn no nerves what do i mean by that here's what i mean a second degree burn is the most painful because the nerves are still intact which is the good thing but man it hurts we're going underneath that first layer of skin the superficial with a third degree burn the burn is so bad the nerves become injured what that means that's really really bad it's major but it doesn't hurt as much so it's such a bad burn there's no pain so this is what i want you to keep in mind from first second and third degree now we're going to move on we're going to talk about the different types of burns that you may encounter as an ems provider so now we're going to talk about is the different types of burns that you'll encounter as an ems provider and these are big questions on your exam as well so let's talk about them so thermal burns thermal burns you got to know are the most common think about it thermal burns are based on heat and time of contact right that's your classic thermal burn so temperature and time of contact equals the severity of a thermal burnout chemical chemical burns have to do with acids and alkalize okay chemical burn we give the idea of a really bad chemical burn acids are alkalized to a very specialized area like the eyes that's a bad bad injury why when an acid or alkali goes onto the skin it doesn't just cause a burn like we talked about in the first section what it talked what it does is it actually makes changes to the skin so that is very very very bad or talking about a sensitive area like the eyes does that make sense okay good now the next thing we're going to talk about is electrical very simple here any electrical current or lightning okay is considered an electrical burn okay be careful of high voltage the final part here is radiation is it ionizing or non-ionizing that's all you really got to look at for radiation so these are your four types the next thing we're going to talk about is there's three zones when it comes to burns let's talk about those now with burns we have three main zones do not get confused between the zones and how deep the burns are that was covered earlier every single burn has a zone of the burn so let me explain this this has to do with partial thickness and full thickness burns sorry about the zones now here it is when we have a bad burn there's three zones we have the outside zone we have a middle zone and an inner zone what does that mean let me explain the first zone here on the outside in the periphery it's called the zone of hyperemia now what that means every burn almost has a bullseye pattern like this the most central part had the most contact with the source that caused the burn this middle part here the zone of coagulation is basically necrotic tissue okay that's the middle part this is the critical critically injured part the zone of stace is the middle part here in this ring okay that part is right outside the critical area okay right outside of it okay so it's not critical it's right outside the third the third zone the outside the zone of hyperemia this zone is basically there based on the inflammatory response and that is why it's there showing that increased zone in the periphery okay that is your three zones zone of hyperemia on the outside zone of stasis comes next zone of coagulation comes this happens on the outside and as far as the depth of the burn okay so now we're going to talk about the rule of knives okay now hear me out here it's a very very simple system when we look at it like this okay so hang with me here it is now here are rule of knots now i've put head torso back arms legs everything's laid out here we have adult you got to remember an adult in the rule of nines is nine years old plus one to eight is a child an infant is under one now that we know that we can go through so the head so first we have the head remember children have a bigger sized head per their body than an adult so that's the first difference an adult's head is going to be nine percent while the child one to eight the infant is 18 moving down from there is a torso in the back as you can see here for everybody the torso which is from here to here the back is all 18 okay moving down from there we have the arms so what do we get for arms everyone's got nine percent on the arms okay now here's where it gets interesting the legs adult is simple legs 18 okay now what about legs for a child or infant infants easy fourteen percent what about the child something interesting for the child the child starts off at fourteen percent every year the child gets closer to being a adult in this example they are going to gain half of a percentage in their leg body surface area okay now what that means okay i want you to think about this this arm here is nine percent this arm here is nine percent this leg is 18 this leg is 18 okay that is how you go over and assess the rule of nines now there's one more thing i want to talk about here you have your chart what if you have a scattered burn there's burns or is that they're not like just like from here to here from here to here right they're scattered all over the place in that case you would do the rule of palms now what is the rule of palms well here it is not your hand not your hand the patient's hand you would use as one percent so let's say i had to burn here and here and here and here and here and all little pieces the rule of palms would tell me the patient's palm is one percent of body surface area burned and we would base it off that as your scattered burns here's your chart to go off of and that is the rule of nines we got a few more things to discuss now the last piece of the puzzle here for you understanding burns is this minor burns versus moderate versus major serious burns now let's take a look at the whiteboard here first you can see here we have minor burns for the adults so any body surface area less than 15 percent in adult 10 in a child or children would be considered okay it's a minor burn also by the way for a minor burn any full thickness burn less than two percent okay it's not in a specialized area like the eyes for example that would be okay as a minor burn okay now hang on moderate moderate we have let's say for example a second degree burn for an adult between 15 and 25 percent burned let's say it was a second degree burn and it was 20 of the body surface area moderate let's say we have a burn second degree okay also known as partial thickness in a child and it was 15 percent notice children are between 10 and 20 percent for moderate okay now what else for a moderate burn i'll show you here a full thickness over ten percent that's at third degree burn over ten percent that would be considered a moderate burn now finally down here we're going to talk to talk about major burns three things i want you to keep in mind with a major burn chemicals inhalation high voltage these three things does not mean it is a major burn but those are three of the things that it's very easy to cause a major burn fast especially and i highly call it a highly specialized area or function in the body like the eyes inhalation okay these are the parts of the body that they get burned they're very sensitive to that okay so think about that first now as far as percentage-wise look here adults we have 25 pediatrics we have 20 okay so that is what we call a major burn my friends i really hope you enjoy this video on burns and if you're one of these three people i want you to click the link down below in the description number one if you are somebody getting prepared for emt advanced emt or paramedic school if you're somebody who's in class right now and just struggling you're trying to understand the why behind what you do or if you're somebody getting ready for your national rescue exams very simply my life's work is down below in the description you'll get access to over 160 videos of my best content to get you prepared for those three things plus you get access to me as your coach inside our private community as well you can ask me questions why you're in school or while you're studying for your national exams click the link down below i will see you in the inside and if you are new here smash that like button and hit subscribe to make sure you are tuned in for all our weekly videos i will see you there oh like everything that you were saying was just connecting all these all these you know links inside my brain and i i just knew right then and there um i have to have this program i have to have all the information that he's willing to give i need all of it i went through it i i spent the time and money in other areas and i'm just gonna let you guys know that uh this was everything i was searching for the whole time the first couple videos i watched um when i noticed it just i i just immediately started connecting dots um on some of these things i i didn't have graphs went on there that i continued reviewing and i did it for about a month and you know it helped a lot like i said even after school and i took that test one time not past it your particular program you have your students engaging and you have your students discussing and you have your students actually using your products and i'm seeing time and time again students that are coming in and announcing their new certification with national registry old's obviously passing the exam doing it pretty quickly 70 questions in about an hour um well you definitely are like how your videos are like i wasn't sure how it was going to be but you are how your videos are so that was awesome so people who are getting ready for paramedic school or if you're getting ready to go in the navy as a corpsman as an army medic [Music] you want to prepare yourself evan i know you've got a program that helps people prepare that way so bottom line is guys you don't ever want to hear something for the first time with a bunch of other students so if you're in a competitive learning environment you don't want to hear about afib for the first time where everybody else you want to have an understanding of it before you walk in the room from 120 questions passing two sections um near passing one and then i think two below passing to seven questions passing completely seven thousand dollars for school plus everything else that you put into it all the time and all the time off work and family and everything it's to see people fail and fail and fail and then just quit which i know a couple people who have i've tend to say you know it doesn't hurt to have somebody right there to talk to you know send a question anytime i get the chance i would gladly [Music] offer or advise them to sign up for you and your paramedic coach it's truly helpful and amazing at what you do i want to help decrease failure rates for nramt for emt school for paramedic school watch these videos watch his content and believe me you will start to understand ems medicine anybody out there that wants to serve their community as an emt or a paramedic should be able to do that and i'm here as a paramedic coach to help you achieve that