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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
Dr Swapnil Pawar October 15, 2020
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