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Burn Notes
Integumentary System
4 Main Causes of Burns
Fire
Chemical
Radiation
Electricity
Burns are evaluated by…
1. The extent or % of body surface burned
2. The depth of the burn
Estimating body surface area
Rule of 9’s pg 167
Body is divided into
11 areas of 9% =99%
Area around the
genitals makes up the
last 1%
Total area burned is
estimated by sight
what areas are burned
and comparing to the
chart.
Depth of burns
 Depends on the tissue layers of skin
involved
1. First Degree burn (typical sunburn)
 Causes minor discomfort
 Some reddening of the skin
 Burned surface layers may peel in 1-2 days
 NO blistering occurs
 Minimal tissue destruction
 “Partial thickness” burn
2. Second Degree burn
 Involves deep epidermis and upper dermis
 Damage to sudoriferous glands, hair follicles,
& sebaceous glands
 Blisters, severe pain, & edema occur
 Scarring is very common
 “Partial thickness” burn
3. Third Degree burn
Also known as “Full Thickness” burn
Destruction of both the epidermis & dermis
leading to tissue death
Burn may involve muscles and bones
This burn is insensitive to pain…why?
Nerves are burnt off
Concerns with Burns
Heat Loss
Body heat
Fluid Loss
Barrier holding fluid in
Infection
Open wounds
Skin Grafting:Move skin to burned area
Autografting
 Skin from own body
Advantages:
 Own skin
Disadvantages
 2 scars
Heterografting
 Skin from another
individual
Advantages:
 1 scar
Disadvantages
 Different pigments
 Could be rejected
MEMORIZETHESENUMBERS!

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Burn Notes

  • 2. 4 Main Causes of Burns Fire Chemical Radiation Electricity
  • 3. Burns are evaluated by… 1. The extent or % of body surface burned 2. The depth of the burn
  • 4. Estimating body surface area Rule of 9’s pg 167 Body is divided into 11 areas of 9% =99% Area around the genitals makes up the last 1% Total area burned is estimated by sight what areas are burned and comparing to the chart.
  • 5. Depth of burns  Depends on the tissue layers of skin involved 1. First Degree burn (typical sunburn)  Causes minor discomfort  Some reddening of the skin  Burned surface layers may peel in 1-2 days  NO blistering occurs  Minimal tissue destruction  “Partial thickness” burn
  • 6. 2. Second Degree burn  Involves deep epidermis and upper dermis  Damage to sudoriferous glands, hair follicles, & sebaceous glands  Blisters, severe pain, & edema occur  Scarring is very common  “Partial thickness” burn
  • 7. 3. Third Degree burn Also known as “Full Thickness” burn Destruction of both the epidermis & dermis leading to tissue death Burn may involve muscles and bones This burn is insensitive to pain…why? Nerves are burnt off
  • 8. Concerns with Burns Heat Loss Body heat Fluid Loss Barrier holding fluid in Infection Open wounds
  • 9. Skin Grafting:Move skin to burned area Autografting  Skin from own body Advantages:  Own skin Disadvantages  2 scars Heterografting  Skin from another individual Advantages:  1 scar Disadvantages  Different pigments  Could be rejected