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Burns Acknowledgements
Where illustrations have been sourced from the internet, the licencing arrangement under which they have been reproduced is shown in parentheses. VA Picture Author 2,11 2nd deg burn US Army (public domain) 3 copper kettle Erich Ferdinand (Attribution 2.0) 3 hazard (public domain) 4 hand R Scarsbrook 5 burn class K. Aainsqatsi (Attribution-Share Alike 3.0 Unported) 6 electrical burn NIOSH (Attribution 2.0 Generic) 5,6 4th deg burns Goga312 (GNU Free Documentation License) 5,7 sunburn Ron Evans 5,8 serious 2nd deg anon (public domain (wikimedia)) 9 hazard (public domain) 10 lonambu gwire (Attribution 2.0) Burns
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Contents Classification Signs and symptoms Treatment
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Types and causes Dry burns Scalds Chemical flame hot surface friction
electricity radiation Scalds hot liquid Chemical
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Area Bigger area = more severe Palm of casualty’s hand = 1%
Wallace’s rule of 9s head arm chest upper back abdomen lower back thigh lower leg 9%x2 9%
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Burn depth, signs & symptoms
Skin structure epidermis - waterproof dermis - blood vessels, nerves, muscles subcutaneous tissue Burn classification superficial red/swollen/painful partial thickness exposed to infection blisters full thickness pale/waxy/possibly charred serious
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Electrical burns Possible features superficial surface injury
extensive damage to lower layers cardiac arrest electric shock risk for first aider
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Treatment – superficial burns
Reassure casualty Cool affected area gently flowing cold water up to 20 minutes Remove constrictions Cover DO NOT break blisters apply lotions, ointments etc use adhesive dressings
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Partial/full thickness
Lay casualty down Cool affected area Remove constrictions, wet clothing Cover burned limbs Treat for shock (and give O2) conscious – give sips of water unconscious – recovery position Evacuate to medical attention DO NOT break blisters apply lotions, ointments etc use adhesive dressings remove dry clothing
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Chemical burns Flood with water Remove contaminated clothing
20 minutes minimum keep water away from healthy tissue Remove contaminated clothing gently avoid self/area contamination protection Continue as for partial and full thickness burns Evacuate to medical attention
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Hospital treatment if burn is.......
Full thickness To face, hands, feet, genitals Right around a limb Partial thickness > 1% Superficial > 5% Mixed pattern of thickness Chemical
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Summary Classification Signs & symptoms First aid
Needing hospital treatment
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