A Wound With Coagulative Necrosis Is Called Burn. A Burn Is A Wound in Which There Is Coagulative Necrosis of The Tissue

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BURN

A wound with coagulative necrosis is


called Burn.
A burn is a wound in which there is
coagulative necrosis of the tissue.
Types of Burn
Burns may be caused by
 Dry Heat: Flame, Hot surface, war injury, friction
(causing rug burns and rope burns), sun
(causing a sunburn),
 Scald: Hot liquids, steam
 Electricity: High & Low Voltage
 Chemicals (causing a caustic burn upon
contact).
 Radio-Dermatitis
 Cold Burn: Frostbite, Chill Blain
Degrees of Burn
1 Degree Burn
st

 First-degree burns are
usually limited to redness
(erythema), a white
plaque and minor pain at
the site of injury. Slight
swelling is present.
 These burns involve only
the epidermis.
 Most sunburns can be
included as first-degree
burns.
2 Degree Burn
nd

 Second-degree
burns manifest as
erythema with
superficial blistering
 of the skin, and can
involve more or less
pain depending on
the level of nerve
involvement.
2 Degree Burn
nd

 Second-degree burns
involve the superficial
(papillary) dermis and
may also involve the
deep (reticular)
dermis layer.
2 Degree Burn
nd

 Deep dermal burns usually take more than


three weeks to heal and should be treated with
care, because in some people very bad
hypertrophic scarring can result.
 Burns that require more than three weeks to
heal are often excised and skin grafted for best
result.
3 Degree Burn
rd

 Third-degree (full
thickness) burns
extend into deeper
tissues. They cause
white or blackened,
charred skin that may
be numb.
Traditional Clinical
Nomenclature Depth Example
nomenclature findings
Erythema,
Epidermis significant
Superficial thickness first degree                      
involvement pain, lack of
blisters

Blisters,
Partial thickness – Superficial
second degree clear fluid,                      
superficial (papillary) dermis
and pain

Whiter
appearance
or fixed red
Partial thickness – Deep (reticular)
third degree staining (no                      
deep dermis
blanching),
reduced
sensation
Epidermis, Dermis,
Charred or
and complete
leathery,
destruction to
thrombosed
Full thickness fourth degree* subcutaneous fat,                      
blood
eschar formation
vessels,
and minimal pain,
insensate
requires skin grafts
DO NOT
 DO NOT apply ointment, butter, ice, medications, fluffy
cotton dressing, adhesive bandages, cream, oil spray, or
any household remedy to a burn. This can interfere with
proper healing.
 DO NOT allow the burn to become contaminated. Avoid
breathing or coughing on the burn.
 DO NOT disturb blistered or dead skin.
 DO NOT remove clothing that is stuck to the skin.
 DO NOT give the person anything by mouth, if there is a
severe burn.
 DO NOT immerse a severe burn in cold water. This can
cause shock.
 DO NOT place a pillow under the person's head if there is
an airway burn and he or she is lying down. This can close
the airway.
FOR MINOR BURNS
 If the skin is unbroken, run cool water over the area of the
burn or soak it in a cool water bath (not ice water). Keep the
area submerged for at least 5 minutes. A clean, cold, wet
towel will also help reduce pain.
 Calm and reassure the person.
 After flushing or soaking for several minutes, cover the burn
with a sterile bandage (if available) or clean cloth.
 Protect the burn from pressure and friction.
 Over-the-counter pain medications, such as ibuprofen or
acetaminophen, may be used to help relieve the pain. They
may also help reduce inflammation and swelling. DO NOT
give children under 12 aspirin.
 Minor burns will usually heal without further treatment.
However, if a second-degree burn covers an area more than
2 to 3 inches in diameter, or if it occurred on the hands, feet,
face, groin, buttocks, or a major joint, then treat the burn as
a major burn (see below).
 Make sure the person is up-to-date on tetanus immunization.
FOR MAJOR BURNS
 If someone is on fire, douse the person with water (if available), wrap the person
in thick, non-synthetic material to smother the flames (use a wool or cotton coat,
rug, or blanket), or lay the person flat and roll him or her on the ground. If your
clothes catch fire, STOP, DROP, and ROLL.
 Call your local emergency number (such as 108).
 Make sure that the person is no longer in contact with smoldering materials.
However, DO NOT remove burnt clothing that is stuck to the skin.
 Make sure the person is breathing. If breathing has stopped, or if the person's
airway is blocked, open the airway. If necessary, begin rescue breathing
and CPR.
 Cover the burn area with a cool, moist sterile bandage (if available) or clean
cloth. DO NOT use a blanket or towel. A sheet will do if the burned area is large.
DO NOT apply any ointments. Avoid breaking burn blisters.
 If fingers or toes have been burned, separate them with dry, sterile, non-adhesive
dressings.
 Elevate the body part that is burned above the level of the heart. Protect the burnt
area from pressure and friction.
 Take steps to prevent shock. Lay the person flat, elevate the feet about 12
inches, and cover him or her with a coat or blanket. However, DO NOT place the
person in this shock position if a head, neck, back, or leg injury is suspected or if
it makes the person uncomfortable.
 Continue to monitor the person's vital signs (pulse, rate of breathing, blood
pressure) until medical help arrives.

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