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Assessment of Extent Pink to red : slight edema, which subsides quickly Pain may last up to 48hours Relieved by cooling Sunburn is a typical example
Reparative Process In about 5 days, epidermis peels, heals spontaneously. Itching and pink skin persist for about a week. No scarring Heals spontaneously. If it doesnt become infected w/in 10days-2weeks
Second Degree
Superficial: Pink or red;blisters form (vesicles);weeping,edematous, elastic. Superficial layers of skin are destroyed; wound moist and painful Deep Dermal: Mottled white and red; edematous reddened areas blanch on pressure. May be yellowish but soft and elastic-may or may not sensitive to touch;sensitive to cold air.
Assessment of Extent Destruction of epithelial cellsepidermis and dermis destroyed Reddened areas do not blanch with pressure. Not painful; inelastic; coloration varies from waxy white to brown; leathery devitalized tissue is called eschar. Destruction of epithelium, fat, muscle and bone.
Reparative Process Eschar must be removed. Granulation tissue forms to nearest epithelium from wound margins or support graft. For areas larger than 3-5cm, grafting is required Expect scarring and loss of skin function Area requires debridement, formation of granulation tissue and grafting
Minor Burns Partial thickness burns are no greater than 15% of TBSA in the adult
Moderate Burns Partial thickness burns are deep and are 15% to 25% of TBSA in the adult
Major Burns Partial thickness burns are >25% of TBSA in the adult