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Burns

  • Different types of burns

Definition

A burn is defined as any destruction of skin or body tissue resulting from heat, chemicals, radiation, or electricity. The severity of a burn depends several factors:
  • the amount of body surface area, also called BSA, that is injured
  • the depth of destruction
  • the location of the burn
  • Risks

    What are the causes and risks of the injury?

    Following are some of the common causes of burns:
    • contact with a caustic chemical
    • contact with a hot object, such as curling irons, cigarettes, or stoves
    • electricity, such as electrical outlets or defective appliances
    • excess exposure to sunlight
    • inhalation of hot gas or steam, such as the discharge from an automobile radiator
    • open flames, such as matches, candles, and campfires
    • rapid ignition of a flammable material, such as lighter fluid
    • scalding from hot liquids, such as coffee or boiling water

    Prevention

    What can be done to prevent the injury?

    Burns can often be prevented by following basic safety precautions. The following measures are recommended:
    • Emphasize the hazards of matches, playing with fire, and fireworks.
    • Follow recommendations to avoid sunburn.
    • Follow safety measures to avoid chemical burns.
    • Install smoke alarms in every bedroom.
    • Keep a working fire extinguisher in the home.
    • Know and practice fire escape routes.
    • Never smoke in bed.
    • Set water heater temperatures no higher than 120 degrees Fahrenheit.
    • Teach children about safety precautions at home, at school, and while traveling.

    Diagnosed

    How is the injury recognized?

    In most cases, it's fairly easy to diagnose a burn. It can be hard to tell the difference between degrees of burn, though. For example, it may take a day or two for the burn to blister, making it a second-degree burn.

    Treatments

    What are the treatments for the injury?

    First aid can often be given by the average person when someone has just been burned. It is important to contact the emergency medical system, or EMS, if the burn is extensive or severe. EMS should also be contacted if the person shows signs of shock or has burns to the airway or lungs.
    First aid can be divided into aid for major and minor burns. First aid steps for minor burns are as follows:
    • Cover the burned area with cool water, but not ice water, for about 5 minutes.
    • Try to reassure and calm the person. Burns can be extremely painful and can cause a lot of anxiety.
    • Cover the area with a bandage after soaking it for several minutes. Use only clean cloths, and try to avoid contaminating the wound.
    • Over-the-counter pain medicines, such as acetaminophen (i.e., Tylenol) or ibuprofen (i.e., Advil, Motrin), may be given.
    • A tetanus shot (using the DTaP vaccine) should be given for burns if it has been more than 5-10 years since the person last had one
    Very minor burns usually heal without any more treatment or follow-up with a healthcare professional. If the burn appears to be more severe, such as a second-degree or third-degree burn, or if it covers an area greater than 2 inches across, a person should receive medical attention.
    Burns of the hands, feet, face, major joints, or genitals should be treated as major burns. The person should see a healthcare professional. Following are first aid steps for major burns:
    • If the person is on fire, have the person stop, drop, and roll. If the person is still on fire, cover the person with a wool or cotton blanket, and douse them with water if it's available. Don't use blankets made of synthetic materials, since these can melt.
    • Try not to remove burned clothing unless it comes off very easily. Make sure that all burning material is removed from the person's skin.
    • Make sure the airway is open and the person is breathing. If necessary, begin CPR, or cardiopulmonary resuscitation.
    • If the person is breathing and has serious burns to the fingers or toes, try to separate the digits with dry, sterile nonadhesive dressings.
    • Elevate the burned area and protect it from further burns, pressure, or injury. Take steps to prevent shock.

    Side Effects

    What are the side effects of the treatments?

    First aid treatments for burns have no significant side effects.

    After Treatment

    What happens after treatment for the injury?

    If the burn is small and first-degree, it will usually heal on its own. More serious burns require major treatment. The goal is to regain motion and function in the burned area. Skin grafts and physical therapy may be needed.

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