Classification of
Burn Depth
Burn Depth
Color pink to red; edema mild to moderate; blisters present; heals in about 2 weeks
What is Superficial Partial Thickness burn
value assigned to anterior aspect of a single upper extremity
4.5
ankle
neutral to 5 deg DF
what are the precautions for allograft?
no restrictions
most common, from a fire, or hot water
thermal burn
color black; no pain; hard and inelastic eschar,
hypodermis to fat, tendons muscle and bone
What is Deep full thickness burn
combined value assigned to anterior and posterior aspect of a single lower extremity
18%
knee
ext/ slight flexion for ant burn
what are the precautions for autograft?
POD #1 – AROM
POD #2-3 – A/AAROM
POD #3 – A/AA/PROM
tissue damage caused by strong acids, drain cleaners, paint thinner, gasoline and many other substances
chemical burn
color pink to red; no blisters or eschar present; healing time 3 to 5 days
What is Superficial burn
estimation of burn percentage on a burn involving the anterior and posterior aspects of the torso
36%
hand and wrist
intrinsic plus 20-30 deg wrist ext
this graft is used for large areas
mesh graft
breathing in smoke
inhalation
Epithelium and most of dermis, Mottled, pink, white, charred, Typically heal in 4-10 weeks, require grafting
What is Deep partial thickness burn
A 25 year old female patient has sustained burns to the back of the right arm, posterior trunk, front of the left leg, anterior head and neck, and perineum. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
37%
Back of right arm (4.5%), posterior trunk (18%), front of left leg (9%), anterior head and neck (4.5%) and perineum (1%) which equals 37%.
axilla
shoulder abd 90-115 deg
this graft is for cosmetic features on the hand face or neck?
sheet graft
occurs when skin is scraped off by contact with some hard object, such as the road, the floor, etc.
friction burn
Entire epidermis and dermis
Dry, leathery, rigid; significant edema
Cannot heal without grafting, 10+ weeks
What is Full thickness burn
A 66 year old female patient has deep partial-thickness burns to both of the legs on the back, front and back of the trunk, both arms on the front and back, and front and back of the head and neck. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
81%
Both of the legs on the back (18%), front and back of the trunk (36%), both arms on the front and back (18%), front and back of the head and neck (9%) which equals 81%
Hip
10-15 ABD
emergency surgical procedure involving incising through areas of burnt skin to release the eschar and its constrictive effects, restore distal circulation, and allow adequate ventilation
Escharotomy
when high-energy current travels through the body due to contact with an electrical source
electrical burn