1. Pg 30 Burns
Protein denaturation and cell death caused by heat, electricity, UV radiation/X-rays, or chemicals
2 main dangers
Dehydration–Loss of fluids & Electrolytes lead to:
Renal Shutdown
Circulatory shock
Infection
Skin (mechanical) barrier lost
Immune system depresses

2. Partial Thickness Burns
First-degree burns
Only epidermis is damaged
Local redness, swelling, & pain
Usually heal in 2-3 days (short time period) with NO scarring
Slide 4.27

4. Partial Thickness Burns
Second degree burns
Epidermis and dermis & structures within dermis are damaged
Appearance of blisters of any size
Skin regeneration in
3-4 weeks with some scarring
There is a danger of infection

6. Full Thickness Burns Third-degree burns
Epidermis, Dermis, Hypodermis and all structures within are completely destroyed
Usually painless at site of burn due to destruction of sense receptors
Burn is gray-white, tan, brown, black, or deep cherry red
Surrounded by areas of 1st & 2nd degree burns that will be painful
Treatments are numerous but will involve skin grafting of some sort, fluid replacement and debridement

10. Skin Graph

11. Page 31: “Rule of Nines”
Paste diagram

13. Rule of Nines Way to determine the extent of burns
Primary importance is to estimate fluids needed for rehydration
Body is divided into 11 areas for quick estimation
Each area represents about 9%