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Superficial Burns

Superficial Burns. Reddened, mild edema, no blisters, epidermis only Painful & sensitive to touch Desquamation (peeling) in 2-3 days, heals 3-7 days Spontaneous healing, no scars. Partial Thickness Burns. Superficial or deep, white or red skin, wet and weepy with blisters and edema

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Superficial Burns

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  1. Superficial Burns • Reddened, mild edema, no blisters, epidermis only • Painful & sensitive to touch • Desquamation (peeling) in 2-3 days, heals 3-7 days • Spontaneous healing, no scars

  2. Partial Thickness Burns • Superficial or deep, white or red skin, wet and weepy with blisters and edema • Involves epidermis and dermis; extremely painful • Heals in 2 to 6 weeks, may need debridement/grafting

  3. Full Thickness Burns • Involves epidermis, dermis and underlying tissues or structures effected • Wound leathery, yellow or white; edema but no pain • Requires grafting and surgical intervention for repair

  4. Concurrent Injuries • Hypoxemia/Hypercapnia • CO poisoning • Inhalation injuries • Blunt force trauma • Suspicious other injuries

  5. Initial Pediatric Burn Assessment • Scene safe? Determine causative event & stop burning process • Aggressively manage airway; prepare for early RSI • Large bore IV access x 2 even through eschar; early IO? • Assess central AND peripheral pulses x 4, consider Doppler • Associated injuries? CO exposure? PMH? 12-lead for electrical? • Labs: ABGs, COHb, CBC, BMP or CMP, PO4, FSBS, UDS, ETOH • Diagnostics: CXR, CT, U/S? **TRAUMA MANAGEMENT TAKES PRIORITY**

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