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What A Burn Is

Percent of Burn Injury

Types of Injury

What To Do if You Get Burned
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Education

What A Burn Is: A burn injury is the destruction of the different layers of the skin and the structures with in the skin. Such as sweat glands, oil glands and hair follicles. Heat generated from the fire or heat source and how long the skin is exposed to the heat is what damages the skin. The depth of injury is described as first, second, third degree burn.

a First Second
(superficial or deep)
Third (full thickness)
Depth (how deep the burn is) Epithelium Epithelium and top aspects of the dermis Epithelium and dermis
How the wound looks No blisters; dry pink Moist, oozing blisters; Moist, white, pink, to red Leathery, dry, no elasticity; charred appearance
Causes Sunburn, scald, flash flame Scalds, flash burns, chemicals Contact with flame, hot surface, hot liquids, chemical, electric
Level of pain (sensation) Painful, tender, and sore Very painful Very little pain, or no pain
Healing Time Two to five days; peeling Superficial: five to 21 days.
Deep: 21-35 days
Small areas may take months to heal; large areas need grafting.
Scarring No scarring; may have discoloration Minimal to no scarring; may have discoloration Scarring present


Percent of Burn Injury:
When someone is 10% or 80% total body surface area (TBSA) burned this indicates the actual amount of the body that is injured with a burn. Specially designed charts ("Rule of Nines", "Lund and Browder") are used by medical staff to help measure how much of the skin is damaged by the burn.

Types of Injury:

Flame
Scald
Contact
Electrical
Chemical


What To Do if You Get Burned

Flames:

Stop, Drop, Roll
Cool the burn area with cool water. Do not use Ice.
Remove non sticking burned clothes.
Cover the burn with a clean dry bandage.
Keep person warm.
Remove jewelry, tight cloths, belts and shoes.
Do not break blisters.
Do not use creams or butter.
Seek medical attention.


Scalds
:

Remove hot wet clothes.
Cool the burn area with cool water. Do Not Use Ice.
Cover the burn with a clean, dry dressing. Keep the person warm.
Do not use creams, or butter.
Do not break blisters.
Seek medical attention.


Contact Burn (hot surface area, i.e., hot iron)
:

Cool the burn area with cool water. Do Not Use Ice.
Cover the burn with clean dry dressing. Keep the person warm.
Do not use creams or butter.
Do not break blisters.
Seek medical attention.


Electrical Burn
:

DO NOT TOUCH the person in contact with electricity. Injury could result.
Call 911.
Disconnect the source of power or call the power company.
After the power is off begin medical assistance. Is the person breathing? Does he have a heart beat?
Begin CPR if needed.
Look for other injuries.
Cool the burn area with cool water. Do Not Use Ice.
Cover the burn with clean dry dressing. Keep the person warm.
Do not use creams or butter.
Seek medical attention.


Escape From A Fire
:

Have a fire escape plan
Know two ways out of a room.
Make sure smoke detectors are working properly.
Be prepared, have fire drills. Plan to assist people who can not escape on their own.
Think, don't panic in a fire. Never waste time getting dressed or gathering valuables.
Sleep with bedroom door closed. (This will give you additional time to escape a fire.)
Touch door before opening. If it is warm fire may be in the hall. Do not open door, find second way out.
In smoke crawl. Keep your head 1 - 2 feet from the floor. Do not think you can breath in the smoke. One breath of smoke can get you confused and disoriented.
If you can escape from a window, hang from it, then drop to the ground. Do not jump.
Have a set meeting place outside the house. As you escape from the house you meet the rest of the family in this location. Make sure everyone is out of the house.
Make sure the fire department is called (911) once you get out of the house or building. Inform the fire personnel of anyone or any pets that might still be in the house.
Never go back in a burning building. Leave the fire fighting to the professionals.

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