superficial burns
DESCRIPTION
Superficial Burns. Reddened, mild edema, no blisters, epidermis only Painful & sensitive to touch Desquamation (peeling) in 2-3 days, heals 3-7 days Spontaneous healing, no scars. Partial Thickness Burns. Superficial or deep, white or red skin, wet and weepy with blisters and edema - PowerPoint PPT PresentationTRANSCRIPT
Superficial BurnsSuperficial Burns
• Reddened, mild edema, no blisters, epidermis only
• Painful & sensitive to touch
• Desquamation (peeling) in 2-3 days, heals 3-7 days
• Spontaneous healing, no scars
• Reddened, mild edema, no blisters, epidermis only
• Painful & sensitive to touch
• Desquamation (peeling) in 2-3 days, heals 3-7 days
• Spontaneous healing, no scars
Partial Thickness BurnsPartial Thickness Burns
• Superficial or deep, white or red skin, wet and weepy with blisters and edema
• Involves epidermis and dermis; extremely painful
• Heals in 2 to 6 weeks, may need debridement/grafting
• Superficial or deep, white or red skin, wet and weepy with blisters and edema
• Involves epidermis and dermis; extremely painful
• Heals in 2 to 6 weeks, may need debridement/grafting
Full Thickness BurnsFull Thickness Burns
• Involves epidermis, dermis and underlying tissues or structures effected
• Wound leathery, yellow or white; edema but no pain
• Requires grafting and surgical intervention for repair
• Involves epidermis, dermis and underlying tissues or structures effected
• Wound leathery, yellow or white; edema but no pain
• Requires grafting and surgical intervention for repair
Concurrent InjuriesConcurrent Injuries
• Hypoxemia/Hypercapnia
• CO poisoning• Inhalation injuries• Blunt force trauma• Suspicious other
injuries
• Hypoxemia/Hypercapnia
• CO poisoning• Inhalation injuries• Blunt force trauma• Suspicious other
injuries
Initial Pediatric Burn AssessmentInitial Pediatric Burn Assessment
• Scene safe? Determine causative event & stop burning process• Aggressively manage airway; prepare for early RSI• Large bore IV access x 2 even through eschar; early IO?• Assess central AND peripheral pulses x 4, consider Doppler• Associated injuries? CO exposure? PMH? 12-lead for electrical?• Labs: ABGs, COHb, CBC, BMP or CMP, PO4, FSBS, UDS, ETOH• Diagnostics: CXR, CT, U/S?
**TRAUMA MANAGEMENT TAKES PRIORITY**
• Scene safe? Determine causative event & stop burning process• Aggressively manage airway; prepare for early RSI• Large bore IV access x 2 even through eschar; early IO?• Assess central AND peripheral pulses x 4, consider Doppler• Associated injuries? CO exposure? PMH? 12-lead for electrical?• Labs: ABGs, COHb, CBC, BMP or CMP, PO4, FSBS, UDS, ETOH• Diagnostics: CXR, CT, U/S?
**TRAUMA MANAGEMENT TAKES PRIORITY**