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CLINICAL PRESENTATION OF THERMAL BURN WOUNDS

Depth of Burn Skin Examples Signs Sensation Self-healing Skin healing Visible scarring
Involvement capacity time
Epidermal burn Epidermis Brief flame or Dry and red, Tender and Excellent with Within 7 days Unusual
flash; Sunburn blanches with painful when use of occlusive
pressure, no exposed to air. dressing
blisters
Superficial Epidermis and Scald (spill or Pale pin with Very painful Excellent with Within 14 days Can have color
partial- part of the splash), short fine blistering, proper match defect.
thickness burn papillary dermis flash blanches with management Low to
pressure moderate risk of
hypertrophic
scarirng
Deep partial- Epidermis, the Scald (spill), Dark pink to May be painful Should not be 14 to over 21 Moderate to
thickness burn entire papillary flame, oil or blotchy red, or left to heal by days high risk of
dermis down to grease capillary refill reduced/absent itself, but hypertrophic
reticular dermis sluggish to sensation instead should scarring
none. probably be
In child, may be submitted to
dark lobster red surgery
with mottling
Full thickness Entire thickness Scald White, waxy or Insensate No healing Never. Replaced Yes.
burn of the skin and (immersion), charred, no capacity and as by scar and
possibly deeper flame, steam, blisters, no such should contracture
oil, grease, capillary refill. always be
chemical May be dark submitted to
lobster red.

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