BURNS

Thermal Injury / Combustion / Burn

Wound
 THREE IMPORTANT FACTORS
IN BURNS

1. ETIOLOGY / CAUSE
2. BURN DEPTH
3. BURN SIZE / AREA
 ETIOLOGY / CAUSES
1. SCALD
2. FLAME
3. CONTACT
4. CHEMICALS
5. ELECTRICITY
Chemical Burn

 Duration, amount,
concentration
 Brush away dry
chemicals
 Flush with copious
amounts of water
for 20-30 minutes
Alkaline Burn
Electrical Burn

 Result in damage
to fascia and
muscle, and may
spare the overlying
skin

Fasciotomy
 BURN DEPTH

• 1st DEGREE
Superficial Skin Burn
• 2nd DEGREE
Partial-Thickness Skin Burn
• 3rd DEGREE
Full-Thickness Skin Burn
 BURN DEPTH

Superficial Skin Burn

 BURN DEPTH

1st degree
burn wound
 BURN DEPTH
Partial Thickness Skin Burn
 BURN DEPTH

2nd degree
burn wound
 BURN DEPTH

Full Thickness Skin Burn

 BURN DEPTH

3rd degree
burn wound
BURN SIZE / AREA

“Rule of Nines”
 BURN SIZE / AREA
EXTENT OF BURN WOUND
Age (Years)
Area 0-1 1-4 5-9 10-15
Head 19 17 13 10
Neck 2 2 2 2
Anterior trunk 13 13 13 13
LUND &
Posterior trunk 13 13 13 13 BROWDER
Buttock 5 5 5 5 CHART
Genitalia 1 1 1 1
Arm 4 4 4 4
Forearm 3 3 3 3
Hand 2½ 2½ 2½ 2½
Thigh 5½ 6½ 8½ 8½
Leg 5 5 5½ 6
Foot 3½ 3½ 3½ 3½
WOUND CARE
• 1st degree  no specific treatment
• 2nd degree  cleanse with
0.9% NaCl +
Savlon
500 cc 5 cc
Sofratulle
Sterile gauze
(for 1 week)
WOUND CARE
3rd degree 
Cleanse with 0.9% NaCl (500 cc) +
Savlon (5 cc)
Daily debridement
Dermazin® / Burnazin® (1% Silver
Sulfadiazine cream) everyday
When necessary: Escharectomy +
Skin Grafting