does burn thickness mean? and what difference does it make?
thickness is important because the different layers of the skin all
have many different functions. Your skin protects and insulates you.
It can grow new skin, regulate body temperature, grow hair, guard
against infection and communicate with your brain about what your
environment feels like. The supple flexibility of your skin allows
you to move and breath.
deep a burn penetrates through the layers of the skin determines
which of these functions may be damaged and which of these functions
may be lost forever. A close inspection of the texture, moisture,
color and general appearance of a burn will give you important clues
regarding what thickness or “degree” of burn the patient has
BUT don't waste time
trying to assess the depth .
JUST COOL IT
Partial Thickness Burn Full Thickness Burn
In Calculating the Percentage of Body Surface area that has been
affected by burns, the following guide is universally used.
For smaller burns, the palm of the patient's hand is 1%, not
including the fingers.
The head is 9%.
The chest and back are both 18% respectively.
is also 18%.
Each arm is given 9%
The genitalia add the remaining
1% to total body area.
From that foundation, large area burns can be
estimated rapidly, for example
One half of one arm is a 4.5% of TBSA (Total Body Surface Area).
One entire leg and the front of the other leg is a
27% of TBSA burn.
should see a physician if,
than 1% of skin surface is involved.
neck, genital area, hands, or feet are involved.
child under 12 suffering from burns or scalds
Prompt cooling of the burn can prevent a second degree burn from
escalating to a Full Thickness Burn.
A burn from Gasoline can continue to penetrate tissue for 17 minutes.
So continue to cool the area for at least 20 minutes, but no longer, as it may reduce the blood supply to the injury.