PTRS 705 Interventions: Burns & Wound Identification/Staging Flashcards
Burn: Superficial
Epidermis
Red
Painful
Burn: Superficial Partial
Dermis
Edema/Weeping/Blister
Painful
Burn: Deep Partial
Very little Dermis left
White/Charred
Not painful
Burn: Full
Subcutaneous
Pressure Ulcer: Skin intact, non-blanchable
Stage 1
Pressure Ulcer: Full thickness, through the fascia(see bone, mm, tendon) w/slough or eschar, undermining/tunneling
Stage 4
Pressure Ulcer: Full thickness, see subQ w/slough, undermining/tunneling
Stage 3
Pressure Ulcer: Full thickness w/slough covered by eschar
Unstageable
Pressure Ulcer: Partial thickness, red/pink w/slough
Stage 2
Wound: Punched out w/red halo
Arterial
Wound: Pain w/elevation
Arterial
Wound: Pain in dependent position
Venous
Wound: Hemosiderin staining
Venous
Wound: No involvement of foot
Venous
Wound: Irregular & shallow
Venous