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Management of Burns

Dr Swapnil Pawar October 21, 2020 22


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    Management of Burns
    Dr Swapnil Pawar

Written by Dr Andrew Lam

Rule of 9’s to Determine Body Surface Area of Burns



Classification of Burns

Classification Depth Description
Superficial Epidermis Non-blistering and are usually dry and painful. Erythematous and blanching.
Superficial Partial Dermis Characteristically forms blisters between epidermis and dermis. Painful, red, weeping and blanch with pressure
Deep Partial Hair Follicles and Glandular Tissue Painful only to pressure. Can be wet or waxy dry and can have varied mottled colourisation from cheesy white to red. These do NOT blanch with pressure
Full Thickness The whole Dermis, often involving Subcutaneous Tissues Usually painless with decreased/no sensation. Can be waxy white, grey or black. Generally dry and do not blanch with pressure. 

 

References: 

Blahd, W. H., (2019), Rule of Nines for Burns. MyHealth.Alberta.Ca, Retrieved 24th September 2020 from https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=hw262650&lang=en-ca#:~:text=The%20size%20of%20a%20burn,of%20the%20body’s%20surface%20area.

Rice, P.L.., & Orgill, D. P. (2019). Assessment and Classification of Burn Injury. UpToDate. Retrieved September 24, 2020, from https://www.uptodate.com.acs.hcn.com.au/contents/assessment-and-classification-of-burn-injury

 

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