Doc, are there different ways to
classify burns?
Mrs. Janice Parker. S. Africa.
Yes there are different ways to
classify burns, but the whole purpose is to help in managing them in a better
way. Every burn must be mentioned by its
degree or depth since it lets the surgeon know whether he should manage the
patient conservatively or by surgery. Further classifying burns in major, minor
or moderate helps to decide the level of management that they need. Thus a
third degree burn even if it is one percent TBSA (total burn surface area) cannot be managed
conservatively and will need surgery. Again a 5 percent TBSA can be managed on
an outpatient basis, but a 50 percent TBSA will definitely need inpatient
management.
degree of burns.
Degree of burn
actually tells us about the depth of the burn. The burn depth is classified as
follows.
a) First degree- superficial
burns affecting the epidermis are referred to as first degree burns and are
similar to sunburns.
b) Second degree: both the epidermis and the
superficial layer of the dermis are damaged in second degree burns.
c) Third degree
burns: these burns affect the full thickness skin and often needs surgical
management.
d) Fourth degree
burns: these burns affect the full thickness of the skin and the underlying
structures like nerves, muscles, tendons, vessels and may extend up to the
bone.
We can also classify burns according
to their size:
a)Major Burns: these consist of chemical or high voltage electrical burns, Inhalation
injury, full thickness burns more than 10% TBSA or burns involving more than
25%TBSA.
b) Moderate Burns: these consist of Superficial
or partial thickness burns of trunk, hands, feet, perineum or head involving
15-25% TBSA.
c) Minor Burns: these
consist of Burns not involving the hand, perineum,
feet or head and must be less than 15% TBSA.
(An original initiative in burn care and education from
asktheburnsurgeon+)
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