Burn Injuries
One of the most painful injuries that one can
ever experience is a burn injury. When a burn occurs to the skin,
nerve endings are damaged causing intense feelings of pain. Every
year, millions of people in the United States are burned in one
way or another. Of those, thousands die as a result of their burns.
Many require long-term hospitalization. Burns are a leading cause
of unintentional death in the United States, exceeded in numbers
only by automobile crashes and falls.
Types of Burns:
-
First degree burns are superficial
injuries that involve only the epidermis or outer layer of skin.
They are the most common and the most minor of all burns. The
skin is reddened and extremely painful. The burn will heal on
its own without scarring within two to five days. There may be
peeling of the skin and some temporary discoloration.
- Second degree burns occur
when the first layer of skin is burned through and the second
layer, the dermal layer, is damaged but the burn does not pass
through to underlying tissues. The skin appears moist and there
will be deep intense pain, reddening, blisters and a mottled appearance
to the skin. Second degree burns are considered minor if they
involve less than 15 percent of the body surface in adults and
less than 10 percent in children. When treated with reasonable
care, second degree burns will heal themselves and produce very
little scarring. Healing is usually complete within three weeks.
- Third degree burns involve
all the layers of the skin. They are referred to as full thickness
burns and are the most serious of all burns. These are usually
charred black and include areas that are dry and white. While
a third-degree burn may be very painful, some patients feel little
or no pain because the nerve endings have been destroyed. This
type of burn may require skin grafting. As third degree burns
heal, dense scars form.
Treating burns:
Cool a burn with water. Do what you must to
get cool water on the burn as soon as you can. Go to the nearest
water faucet and turn on the cold spigot and get cool water on the
burn. Put cool, water-soaked cloths on the burn. If possible, avoid
icy cold water and ice cubes. Such measures could cause further
damage to burned skin.
Never
apply ointment, grease or butter to the burned area. Applying such
products, actually confine the heat of the burn to the skin and
do not allow the damaged area to cool. In essence, the skin continues
to "cook". After the initial trauma of the burn and after
it has had sufficient time to cool, it would then be appropriate
to put an ointment on the burn.
The one exception to the "Cool a Burn"
method is when the burn is caused by a powder, such as lime. In
that case, carefully brush the powder off the skin completely and
then flush the area with water. In the
event of any serious burns, call 9-1-1.
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