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Burns are injuries to the skin or other tissues caused by heat, friction, electricity,

radiation or chemicals leading to discontinuity of the skin (Hinkle, Cheever and


Bare, 2018).
Second degree burns, characterized by partial thickness damage extending through
the epidermis and into the upper layers of the dermis pose significant challenges
for both patients and healthcare professionals. While less severe than full-thickness
burns, they require careful attention due to potential complications like pain,
infection and scarring (American Burn Association, 2021).
A hallmark sign of second-degree burns is the presence of blisters filled with clear
fluid, formed due to separation of the epidermis from the dermis (Herndon, 2011).
Second degree burns cause significant pain due to exposed nerve endings in the
damaged dermis (Brunner & Suddarth, 2012)
Unlike full thickness burns which destroy all skin layers, second-degree burns
retain the potential for healing due to preserved skin appendages in the deeper
dermis. However, proper wound care and infection prevention are essential to
avoid complications and scarring.
The most significant and immediate problem after the source of burn has been
removed is Shock. This is partly because of the patient’s traumatic experience, but
mainly due to loss of body fluid from the burned surface. This is why the size of
the surface area of the body burned is a better guide to the severity of the burn than
the deep tissue destroyed.

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