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Burn Injuries
The Skin

The skin is the largest organ in the body and performs many important functions. It protects against infection by keeping out bacteria. It prevents loss of body fluids and helps control body temperature.
Depth of Burn

The depth of burn is usually categorized as superficial partial-thickness, deep partial-thickness or full-thickness.
Superficial partial-thickness (also know as superficial second degree)

A superficial partial-thickness burn resembles a deep sunburn and is very painful. It will usually heal on its own within ten days.
Deep partial-thickness (also known as deep second degree)

A deep partial-thickness burn is also very painful and blisters will form over the burned area. It may take at least three weeks to heal.
Full-thickness (also known as third degree)

A full-thickness burn involves damage to all the layers of the skin, including the skin-reproducing cells. This wound will require skin grafting to heal.
First Degree Burn Second Degree Burn Third Degree Burn

The severity of a burn injury depends on the depth and size of the burn wound, patient’s age, the patient’s past medical problems and part of the body that has been burned. It is difficult to predict how long it will take for a patient’s injury to heal as all individuals recover at different rates.

It is not always possible to tell the depth of the injury when a patient is admitted. It often takes several days to determine whether the burn wound will heal on its own or if it will require skin grafting.
Determining the severity of burns

* Source of the burn - a minor burn caused by nuclear radiation is more severe than a burn caused by thermal sources. Chemical burns are dangerous because the chemical may still be on the skin.
* Body regions burned - burns to the face are more severe because they could affect airway management or the eyes. Burns to hands and feet are also of special concern because they could impede movement of fingers and toes.
* Degree of the burn - the degree of the burn is important because it could cause infection of exposed tissues and permit invasion of the circulatory system.
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Never apply ointment, grease or butter to the burned area. Applying such products, actually confine the heat of the burn to the skin and do not allow the damaged area to cool. In essence, the skin continues to "simmer." After the initial trauma of the burn and after it.


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