Burns

Question 1

Burn depths

1st degree
2nd degree
3rd degree

Answer 1

Superficial epidermal
Dermal
Subdermal

Question 2

1st degree burns

What usually causes them?

Presentation?

How long does healing take? Scar?

Answer 2

Sunburn

Red
Painful
Peels

Days without scar

Question 3

2nd degree burns

Defining feature

2 types - Superficial and deep dermal:

Superficial dermal (partial thickness):

Appearance - colour
Other symptoms or signs
How long does healing take? Scar?

Answer 3

Blistering

Pink below blister

Blanches on pressure
Painful

2-3 wks without scar

Question 4

2nd degree burns

Deep dermal (full thickness):

Appearance
Blanching?
Neuronal change?
How long does healing take? Scar?

Answer 4

Deep red below blister from vasodilation or red dots on white background

No or slow blanching

May have sensory changes

> 3 wks to heal
Leaves a scar

Question 5

3rd degree burns

Appearance
Pain
What about feeling and look of skin? - you have a jacket made out of it

How does it heal

Answer 5

White or charred appearance
Painless (insensate)
Leathery skin

Slowly by contraction

Question 6

Management

Supportive:

• First aid
• What if 2nd or 3rd degree
• What else can be done if needed?
• What if there is infection?

Answer 6

Cold water
Cling film

Fluids

Analgesia and tetanus booster if needed

Antibiotics

Question 7

Management:

Superficial epidermal - what can be applied?

Blisters - 2 things that can be done?

Answer 7

Apply non-adhesive dressing or biological dressing

Leaving them or deroofing

Question 8

Management:

Dressing needed for dermal burns to aid healing:

What are the different types of dressings? - 3

What should be considered in children with burns?

Answer 8

Paraffin gauze (Jelonet)
Hydrocolloid
Antimicrobial (silver)

Non-accidental injury or neglect