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BURNS AND SCALDS
⦿ injury to the
●Skin
⦿ May involve:
●Fats
●Muscles
●Bones
Burns and Scalds
may be caused by
1.Dry heat
2.Moist heat
3.Electricity
4.Chemicals
5.Radiation
CATEGORIES OF BURN INJURIES:
1. Thermal
Burns
2. Chemical
Burns
3. Electrical
Burns
⦿ First Degree
○ epidermis
⦿ Second Degree
○ Epidermis
○ Part of dermis
⦿ Third Degree burn
○ Epidermis, dermis, fats
⦿ Fourth degree burn
○ Epidermis, dermis, fats,
muscles, bones
RULE OF NINE
Adults
LAND BROWDER
Infants
Major
Burn
●25% total body surface area
●20% in children < 10 area
●20% in adults > 40 years
○ Involving face, eyes, ears,
hands, feet and perineum likely
to result in functional or
cosmetic impairment or
disability
○ High voltage electric burn
injury
○ Concomitant inhalation injury
or major trauma
Moderate
Burn
●15 – 25% TBSA in adult
●10-20 % in children < 10
years
●10-20 % in adults >40
years
●< 10% TBSA full
thickness burn without
cosmetic or functional
risk to burn involving the
face, ears, hands, feet,
perineum
Minor
Burn
●<15% TBSA in
adults
●<10% TBSA in
children < 10 years
●10% TBSA in adults
●> 40 years
●No risk for
disability
⦿ If clothing is one fire, smother flames with
coat, blanket or rug.
S- top
D- rop
R- oll
⦿ Keep the victim lying down, to lessen
SHOCK
⦿ Cut cloth away
⦿ If cloth adheres to the burn, don’t pull it loose
⦿ leave it and cut gently around it
⦿ Carefully scrub hands to prevent
contamination.
⦿ Cover the burn with a thick pad of
dressing
● excludes air
● reduces pain
● Reduce contamination
● If dressings are not available, use freshly
laundered sheets or towels.
⦿ Don’t apply burn ointments or oil or
antiseptic of any and don’t attempt to
change the dressing.
⦿ Call ambulance or move patient to
nearest hospital emergency room.
⦿ On burn that cannot be immersed,
apply ice wrapped in cloth; or
apply cloths soaked in ice water
and change them constantly.
⦿ Continue treatment until the pain is
gone.
Pathophysiology
Exposure to thermal source
Decrease blood flow to the burned area
Increase arteriolar vasodilation
Decrease of vasoactive substance from the
burned tissue
Increase capillary permeability
Wound edema fluid loss
Aggravates edema in non-burned tissue
Hypovolemic shock

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BURNS (Final)_.pdf

  • 2. ⦿ injury to the ●Skin ⦿ May involve: ●Fats ●Muscles ●Bones
  • 3. Burns and Scalds may be caused by 1.Dry heat 2.Moist heat 3.Electricity 4.Chemicals 5.Radiation
  • 4. CATEGORIES OF BURN INJURIES: 1. Thermal Burns 2. Chemical Burns 3. Electrical Burns
  • 5. ⦿ First Degree ○ epidermis ⦿ Second Degree ○ Epidermis ○ Part of dermis ⦿ Third Degree burn ○ Epidermis, dermis, fats ⦿ Fourth degree burn ○ Epidermis, dermis, fats, muscles, bones
  • 6. RULE OF NINE Adults LAND BROWDER Infants
  • 7. Major Burn ●25% total body surface area ●20% in children < 10 area ●20% in adults > 40 years ○ Involving face, eyes, ears, hands, feet and perineum likely to result in functional or cosmetic impairment or disability ○ High voltage electric burn injury ○ Concomitant inhalation injury or major trauma
  • 8. Moderate Burn ●15 – 25% TBSA in adult ●10-20 % in children < 10 years ●10-20 % in adults >40 years ●< 10% TBSA full thickness burn without cosmetic or functional risk to burn involving the face, ears, hands, feet, perineum
  • 9. Minor Burn ●<15% TBSA in adults ●<10% TBSA in children < 10 years ●10% TBSA in adults ●> 40 years ●No risk for disability
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. ⦿ If clothing is one fire, smother flames with coat, blanket or rug. S- top D- rop R- oll ⦿ Keep the victim lying down, to lessen SHOCK ⦿ Cut cloth away ⦿ If cloth adheres to the burn, don’t pull it loose ⦿ leave it and cut gently around it ⦿ Carefully scrub hands to prevent contamination.
  • 22. ⦿ Cover the burn with a thick pad of dressing ● excludes air ● reduces pain ● Reduce contamination ● If dressings are not available, use freshly laundered sheets or towels. ⦿ Don’t apply burn ointments or oil or antiseptic of any and don’t attempt to change the dressing. ⦿ Call ambulance or move patient to nearest hospital emergency room.
  • 23.
  • 24. ⦿ On burn that cannot be immersed, apply ice wrapped in cloth; or apply cloths soaked in ice water and change them constantly. ⦿ Continue treatment until the pain is gone.
  • 25.
  • 26.
  • 27.
  • 28. Pathophysiology Exposure to thermal source Decrease blood flow to the burned area Increase arteriolar vasodilation Decrease of vasoactive substance from the burned tissue Increase capillary permeability Wound edema fluid loss Aggravates edema in non-burned tissue Hypovolemic shock