2. 4 Main Causes of Burns
Fire
Chemical
Radiation
Electricity
3. Burns are evaluated by…
1. The extent or % of body surface burned
2. The depth of the burn
4. Estimating body surface area
Rule of 9’s pg 167
Body is divided into
11 areas of 9% =99%
Area around the
genitals makes up the
last 1%
Total area burned is
estimated by sight
what areas are burned
and comparing to the
chart.
5. Depth of burns
Depends on the tissue layers of skin
involved
1. First Degree burn (typical sunburn)
Causes minor discomfort
Some reddening of the skin
Burned surface layers may peel in 1-2 days
NO blistering occurs
Minimal tissue destruction
“Partial thickness” burn
6. 2. Second Degree burn
Involves deep epidermis and upper dermis
Damage to sudoriferous glands, hair follicles,
& sebaceous glands
Blisters, severe pain, & edema occur
Scarring is very common
“Partial thickness” burn
7. 3. Third Degree burn
Also known as “Full Thickness” burn
Destruction of both the epidermis & dermis
leading to tissue death
Burn may involve muscles and bones
This burn is insensitive to pain…why?
Nerves are burnt off
8. Concerns with Burns
Heat Loss
Body heat
Fluid Loss
Barrier holding fluid in
Infection
Open wounds
9. Skin Grafting:Move skin to burned area
Autografting
Skin from own body
Advantages:
Own skin
Disadvantages
2 scars
Heterografting
Skin from another
individual
Advantages:
1 scar
Disadvantages
Different pigments
Could be rejected