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In the previous discussion, I learned that the rule of nines is a quick and common method for estimating

the extent of burns in adults by dividing the body into multiples of nine, and the sum of these parts
equals the total body surface area injured. Heat transfer from one location to another causes burn
injury. Burns cause skin disruption, which leads to increased fluid loss, infection, hypothermia, scarring,
weakened immunity, and changes in function, appearance, and body image. Ischemia is a common
complication because as edema worsens, pressure on small blood vessels and nerves in the distal
extremities causes blood flow to become obstructed, Hypoxia of tissue. This is due to carbon monoxide
inhalation and respiratory failure, and lastly I nhalational injuries leads to pulmonary complications.
Burns are classified according to the depth of tissue destruction as superficial partial-thickness where
epidermis is destroyed or injured and a portion of the dermis may be injured, deep partial-thickness that
involves the destruction of the epidermis and upper layers of the dermis and injury to the deeper
portions of the dermis, or full-thickness injuries that involves total destruction of the epidermis and
dermis and, in some cases, the destruction of the underlying tissue, muscle, and bone.

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