SUPERFICIAL PARTIAL-THICKNESS 1 1. 2.

ST

DEEP PARITAL-THICKNESS 2 1. 2.
ND

FULL-THICKNESS 3 1. 2. 3. 1. 2. 3. 4.
RD

DEGREE BURN

DEGREE BURN

OR 4TH DEGREE BURNS

Epidermis Possible portion of the dermis

Epidermis Dermis (deep/upper)

Epidermis Entire dermis Possibly subcutaneous tissue, muscle, tendons, and bone. Insensitivity to pain b/c of nerve destruction (except edges) Shock Hematuria (blood in urine) Hemolysis (blood cell destruction)

1. 2. 3. 4.

Pain Soothed by cooling Hyperesthesia Tingling

1. 2. 3.

Severe Pain c/b nerve injury Sensitive to cold air Hyperesthesia

1. 2. 3. 4.

Erythema Blanching on pressure Mild edema No vesicles or blisters (although after 24 hrs. skin may blister and peel.

1. 2. 3. 4. 5. 6. 7.

Erythema Fluid-filled vesicles/blisters Mild to moderate edema Appears wet and shiny Mottled red base Broken epidermis Weeping surface

1. 2. 3. 4. 5. 6. 7. 8. 9.

Dry Waxy Pale White Leathery or Charred Broken skin with fat exposed. Moderate to severe edema. Hard skin Visible thrombosed vessels Possible involvement of muscles, tendons, and bones.

Recovery w/in a week No scarring Peeling

Recovery w/in 2-4 weeks Some scarring and depigmentation. Risk for infection

Eschar sloughs Grafting necessary Scarring and loss of contour and function Loss of digits and extremities possible.

Superficial epidermal damage with hyperemia. Tactile and pain sensation intact.

Epidermis and dermis involved to varying depth. Skin elements from which epithelial regeneration occurs, remain viable.

All skin elements and local nerve ending destroyed. Coagulation necrosis present. Surgical intervention required for healing

Superficial Sunburn Quick Heat Flash Low Intensity Flash

Flames Flash Scald Contact Chemical Tar

Flame Scald Chemical Tar Electric current