types of burns (final)

8/6/2019 Types of Burns (Final)

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SONJA dr VASIC, HANDICAPINTERNATIONAL

REHABILITATION AFTERBURNS

CONTINGENCY RESPONSE TRAINING

GAZA


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TYPES OF BURNS BY CAUSES

THERMICAL

ELECTRICAL

CHEMICAL

RADIANT


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Depth ofthe burns (1)


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)1(


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Depth ofthe burns (2)


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)1(


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Parts ofthe burns


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PARTS OF THE BURNS

NECROTIC ZONE

ZONE OF STASIS

ZONE OF HYPEREMIA


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TYPES OF BURNS BY SEVERITY

MINOR FLAME BURNSSEVERE FLAME BURNS


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MINOR FLAME BURNS-First

Degree

These burns only damage theepidermis, the most superficial

layer of skin The skin may turn redand mayeventually peel, but theburn should heal without a scarwithin 7 days.

Bathing the burn in cool water andapplying lotion or moisturizer willdecrease discomfort.


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)(

7

.


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Flesh with cold water


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Flesh with cold water


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Second degree- superficial

Superficial second-degree burnsdestroy the epidermis and some

dermis . These wounds often blisterand are quite painful, but they healwithin 3 weeks with minimumscarring. These burns should be

immediately immersed in coolwater. Cool water causesvasoconstriction, decreasesinflammation, and helps control

pain.


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.

, 3 .

,

.


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Second degree superficial


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-


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BLISTERS

Blisters, particularly small blisters,should beleft intact.

Large blisters can be drained via needleaspiration if sterile needles areavailable.Blistered skin is dead and the capturedfluid can providea medium for bacteriagrowth so infection is certainly possible,

even if the blister is kept intact.


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.


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SEVERE FLAME BURNS

Second degree-deep

Third degree

Fourth degree


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Second degree- deep

Deep second degree: Theseburns destroy the epidermis,

most of the dermis, and mostepithelial cells.

Though more dangerous than asuperficial second-degree burn, they

areless painful because nerveendings are killed. These woundsrarely blister but take weeks toheal. These burns scar a great deal.


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-

.

.

.

.

.


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THIRDDEGREE

Third-degree burns are full-thickness wounds, involving the

death ofepidermis, dermis, andepidermalappendages. The burntskin often looks black, whiteandleathery on the surface; someareas

maylook blistered or appear brightred. These burns areless painfulbecause nerveendings have died.


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.

, ,


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SONJA dr VASIC, HANDICAP

INTERNATIONAL

Third degree burns classification

A 3rd degree burn is consideredminor if the burn cover less than

2% of BSA; is considered moderatewhen the burn cover 2-10% BSAand is considered critical when theburn cover more than 10% BSA

along with burn on face, feet, handsor genitals.


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2%

-102% 10%

,,,.


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INTERNATIONAL

GRAPHICS OF BURNS TYPES


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INTERNATIONAL

FOURTH DEGREE

Fourth-degree burns are burnsthat affect deep structures such

as muscle, tendon, and bone inaddition to skin. These burns arevery dangerous, will impair thelimbs functionality, and require

hospitalattention.


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:

,, .


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INTERNATIONAL

ICRC classification

SMALL

MEDIUM

BIG


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INTERNATIONAL

SMALL

15% of the second degree


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15%


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INTERNATIONAL

MEDIUM

10% of the second degree+12-20% of the third degree


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10%

12-20%


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INTERNATIONAL

BIG

25% of the second degree+10% ofthe III degree


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25%

10%


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INTERNATIONAL

Third degree burns classification

A 3rd degree burn is consideredminor if the burn cover less than

2% of BSA; is considered moderatewhen the burn cover 2-10% BSAand is considered critical when theburn cover more than 10% BSA

along with burn on face, feet, handsor genitals.


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2% .

2-10% . 10% .

,,,.


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INTERNATIONAL

Estimating TBSA

USE THE RULE OF 9

HEAD 9%

ARMS 2 x 9% LEGS 2 x 18%

TRUNK 2 x 18%

PERINEUM 1%


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TBSA

9%

18%

36%36%

1%


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INTERNATIONAL

USE THE RULE OF 9


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9%


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INTERNATIONAL

Estimating TBSA ofthe smaller areas

To estimate the total bodysurfacearea (TBSA) affected,

for the smaller areas use thearea ofan open hand (withfingers together) to represent

1%.


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TBSA

)TBSA(

1%


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INTERNATIONAL

Klasifikacija u bosanskom vodicu

types of burns (final)

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