Determining burn depth is important. Things to consider are temperature, mechanism, duration of contact, blood flow to skin, and anatomic location. Epidermal depth varies with body surface, which can offer varying degrees of thermal protection. Older adults and young children also have thinner skin
Includes only the outer layer of skin, the epidermis
Skin is usually red and very painful
Equivalent to superficial sunburn without blisters
Dry in appearance
Healing occurs in 3-5 days, injured epithelium peels away from the healthy skin
Hospitalization is for pain control and maybe fluid imbalance
Second degree: Can be classified as partial or full thickness.
Blisters can be present
Involve the entire epidermis and upper layers of the dermis
Wound will be pink, red in color, painful and wet appearing
Wound will blanch when pressure is applied
Should heal in several weeks (10-21 days) without grafting, scarring is usually minimal
Can be red or white in appearance, but will appear dry.
Involves the destruction of the entire epidermis and most of the dermis
Sensation can be present, but diminished
Blanching is sluggish or absent
Full thickness will most likely need excision & skin grafting to heal
All layers of the skin are destroyed
Extends into the subcutaneous tissues
Areas can appear, black or white and will be dry
Can appear leathery in texture
Will not blanch when pressure is applied
If you, a member of your family, or someone you know has suffered a serious burn injury due to someone else's negligence, please contact Neal Law.