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If a clean dressing is not available, do not apply anything to the burn, but rather allow the area to form a dry hardened layer, which is your body’s own natural protection. When possible, wash and redress the wound twice a day. Immediately after cooling, gently wash loose debris from the area, dry it off, and dress the wound loosely with any available clean gauze or clothing. Though blisters may be painful, do not attempt to pop them because open blisters reduce healing time and are magnets for infections. Never directly apply ice on the wound - several studies have shown this may constrict local blood vessels, which may lead to further damage to the affected tissue. Treatment for first-degree and small second-degree burns (less than 3-4 inches in size) involves running cold water or placing a cool compress over the injury for 10-20 minutes. Healing Time: Little to no chance of recoveryĬomplications: Amputation, loss of function, possible death Treatment Layers Affected: Extends completely through to muscle and bone Layers Affected: Extends through entire dermisĬomplications: Scarring, contractures (hardening of tissue), possible amputation Fourth Degree
#Fourth degree burn treatment skin#
Healing Time: 3-8 weeks depending on severityĬomplications: Scarring, contractures (hardening of tissue), possible skin grafting Third Degree (Full Thickness) Layers Affected: Extends into deep dermisĪppearance: Red with white and bloody blisters Layers Affected: Extends into superficial dermisĬomplications: Local infection, typically no scarring Second Degree (Deep Partial Thickness) First Degree (Superficial)Ĭomplications: Increase of skin cancer, typically no scarring Second Degree (Superficial Partial Thickness) Serious second- and third-degree burns are discussed later in this article. Symptoms are similar for second-degree burns, which also have additional blister formations at the burn site. The majority of burns are first degree, which affect the outer layer of skin, causing redness, light pain, and some swelling.

If one leg was completely burnt, that would represent 18 percent.īurn classifications - first-, second-, or third-degree - can be used to assess the severity of the injury. If one entire arm has burns on it, a quick assessment using the rule of nines would conclude that the victim has 9 percent of their body burnt. Using the palmar method, if a victim has a burn the size of three of their palms on their leg, you can estimate that they have a burn on 3 percent of their body. Since burns are never uniform, a quick estimate can be made by combining the two rules. The “rule of nines” estimates the surface area of each main body part in multiples of nine (see diagram). You can determine the extent of the damage in terms of Total Body Surface Area (TBSA) by using the “palmar method” and the “rule of nines.” The area of a victim’s palm is considered to be equivalent to 1 percent of TBSA.

Remember your schoolyard teachings…no, not “don’t eat glue,” but rather “stop, drop, and roll.” Second, assess the damage in terms of location, extent, and degree of the burn. The first action to take is to move the burnt area away from the heat source, and measures must be taken to stop any residual flames.
