Burn Classification

Question 1

What is damaged in an Epidermal Burn?

Answer 1

Cell damage only to the epidermis i.e sunburn

Question 2

Epidermal Burn Color/Vascularity

Answer 2

Erythematous; pink or red

(Erythematous; Redness of the skin)

Question 3

Epidermal Burn Surface Appearance/Pain

Answer 3

No blisters, dry surface, delayed pain

Question 4

Epidermal Burn Swelling/Healing/Scarring

Answer 4

Minimal Edema
Spontaneous healing
No scars

Question 5

What is a damaged in a superficial partial-thickness burn?

Answer 5

Epidermis + Papillary Layer of the Dermis

Question 6

What is the most common signs of a superficial-partial thickness burn?

Answer 6

Presence of intact fluid-filled blisters

Question 7

For a superficial-partial thickness burn, should blisters be evacuated and removed?

Answer 7

YES!

Question 8

Superficial-Partial Thickness: Color and Vascularity

Answer 8

Bright pink or red; inflamed dermis

Erythematous, blanching and brisk capillary refill

Question 9

Superficial-Partial Thickness: Surface appearance and pain

Answer 9

Intact blisters; moist with a glistening surface

Blisters Removed:

• very painful, sensitive to temperature changes, air currents and light touch
• Considered to be the most painful

Question 10

Superficial-Partial Thickness: Swelling/Healing/Scarring

Answer 10

Moderate edema
Spontaneous Healing
Minimal Scarring

Question 11

What is damaged in a Deep Partial-Thickness burn?

Answer 11

Destruction of the epidermis, papillary dermis and damage to the reticular dermal layer

Question 12

What is a Hallmark sign of a Deep Partial-Thickness burn?

Answer 12

Marked Edema

Question 13

What differentiates a Deep Partial-Thickness Burn vs a Full-Thickness Injury?

Answer 13

Preservation of hair follicles and new hair growth indicates a deep partial-thickness burn.

Question 14

Deep Partial Thickness Burn: Sensations Light and Deep touch, what is preserved and why?

Answer 14

Light touch is diminished

Deep pressure preserved due to the location of Pacinian Corpuscles found deeper in the reticular dermis.

Question 15

What is a frequent consequence of the development of deep partial thickness burn?

Answer 15

Hypertrophic or Keloid Scars

Question 16

Deep Partial-Thickness Burn: Color/Vascularity

Answer 16

Mixed red - waxy white

Blanching with slow capillary refill

Question 17

Deep Partial-Thickness Burn: Appearance and Pain

Answer 17

Broken blisters; wet surface

Sensitive to pressure, insensitive to light touch/soft pin prick

Question 18

Deep Partial-Thickness Burn: Swelling/Healing/Scarring

Answer 18

Marked Edema

Slow Healing

Excessive Scarring

Question 19

What is damaged in a Full-Thickness Burn?

Answer 19

Epidermal and Subdermal Layers are COMPLETELY destroyed

Question 20

Full-Thickness Burn: Color and Vascularity

Answer 20

White (ischemic) - Tan - Mahogany - Black

No Blanching; poor distal circulation

Question 21

Full-Thickness Burn: Surface Appearance and Pain

Answer 21

Parchment-like; leathery; Dry

Anesthetic; no pain in wound; around wound very painful

Question 22

Full-Thickness Burn: Swelling/Healing/Scarring

Answer 22

Heals with Skin Grafting

Significant Scarring

Question 23

Burn Wound Zones: What is the Zone of Coagulation

Answer 23

Cells are irreversibly damaged and skin death occurs.

Question 24

Burn Wound Zones: What is the Zone Stasis

Answer 24

Injured cells that may die within 24 to 48 hours without _diligent treatment._

Question 25

Burn Wound Zones: What is the Zone of Hyperemia

Answer 25

Minimal cell damage, tissue should recover within several days.