Degrees of Burn

• Degrees of Burns

  1st Degree: Superficial - Affects the top layer of the skin “epidermis”
• Degrees of Burns

  1st Degree: Superficial - Least severe of all the types; heals usually within 7 days
• Degrees of Burns

  1st Degree: Superficial - skin is very red
• Degrees of Burns

  1st Degree: Superficial - Brisk capillary refill (the faster the capillary refill, the more superficial the burn is)
• Degrees of Burns

  2nd Degree: Partial-thickness - Can be superficial or deep partial-thickness affecting various areas of the dermis
• Degrees of Burns

  2nd Degree: Partial-thickness - Involves the epidermis and dermis
• Degrees of Burns

  2nd Degree: Partial-thickness - Very painful…nerve sensation still present; May need skin grafting if severe
• Degrees of Burns

  2nd Degree: Partial-thickness - Blister present or "weeping" burn
• Degrees of Burns

  2nd Degree: Partial-thickness - Redness that will blanch, swelling, shiny red/pink and moist in area
• Degrees of Burns

  3rd Degree: Full-thickness - All skin layers are damaged along with the fats, hair follicles, sweat glands, nerves
• Degrees of Burns

  3rd Degree: Full-thickness - Not painful or the pain is dramatically decreased because damage to the sensation receptors
• Degrees of Burns

  3rd Degree: Full-thickness - Skin can NOT heal…will need skin grafting; months to heal
• Degrees of Burns

  3rd Degree: Full-thickness - Can look black, yellow or red or pearly white and hard and matte/dry
• Degrees of Burns

  3rd Degree: Full-thickness - Can feel hard in areas or leathery….this is eschar which is hard, dead burnt tissue (will need to be removed for healing to occur and treatment)
• Degrees of Burns

  4th Degree: Deep Full-thickness - Worst of all…all the layers are destroyed but it extends to the muscles, bone, ligaments….all sensation of pain is gone
• Degrees of Burns

  4th Degree: Deep Full-thickness - Appears black, charred with eschar; months to heal and needs skin grafting
• Degrees of Burns

  4th Degree: Deep Full-thickness - Watch for ATN (acute tubular necrosis) because myoglobin and hemoglobin can be released into circulation…goes to kidneys and blocks perfusion, which leads to AKI
• Degrees of Burns

  1st Degree: Superficial - Involves the epidermis; reddish, intact skin; painful
• Degrees of Burns

  2nd Degree: Partial-thickness - Involves the dermis; moist surface; with blisters; painful
• Degrees of Burns

  3rd Degree: Full-thickness - Involves the subcutaneous layer, pearly white; no pain
• Degrees of Burns

  4th Degree: Deep Full-thickness - Involves the muscles and bones; blackish or charred: no pain