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INITIAL WOUND MANAGEMENT
Burn Depth and Outcome SECOND DEGREE CAUSE APPEARANCE PAIN HEALING SCAR RISK SUPERFICIAL hot liquid short exposure wet, pink, blisters severe 10-14 days minimal low risk MID-DERMAL hot liquid longer exposure, flash flame less wet, red ± blisters moderate 2-4 weeks moderate moderate, higher in children, elderly INDETERMINATE (MID OR DEEP) as above red with patchy white areas moderate 2-6 weeks moderate to severe high risk DEEP-DERMAL chemicals, flames dry, white minimal 3-8 weeks severe (needs graft) high risk INDETERMINATE (SECOND OR THIRD) chemicals, flames dry, white none ---- ---- ---- THIRD DEGREE (FULL THICKNESS) chemicals, flames, explosion, with very high temperature dry, white, or char none need graft mild to severe, depending on timing and type of graft ----
Burn Depth and Outcome
SECOND DEGREE
CAUSE
APPEARANCE
PAIN
HEALING
SCAR
RISK
SUPERFICIAL
hot liquid short exposure
wet, pink, blisters
severe
10-14 days
minimal
low risk
MID-DERMAL
hot liquid longer exposure, flash flame
less wet, red ± blisters
moderate
2-4 weeks
moderate, higher in children, elderly
INDETERMINATE (MID OR DEEP)
as above
red with patchy white areas
2-6 weeks
moderate to severe
high risk
DEEP-DERMAL
chemicals, flames
dry, white
3-8 weeks
severe (needs graft)
INDETERMINATE (SECOND OR THIRD)
none
----
THIRD DEGREE (FULL THICKNESS)
chemicals, flames, explosion, with very high temperature
dry, white, or char
need graft
mild to severe, depending on timing and type of graft
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