Severity of Burn
Size of burn
If the burn area is larger than a silver dollar, see a doctor. In
young children, even a smaller burn can be serious.
Location of burn
Hands, feet, face or genitalia are critical areas. A doctor should
treat even small burns in these areas.
Age of injured
For infants, young children and the elderly, even small burns can
Health of injured
Physical and mental impairments and conditions such as diabetes, etc.
can complicate the injury.
Source of burn
Smoke inhalation, toxic fumes, electricity or chemicals all complicate
a burn injury and require immediate medical attention.
The percentage of the body burned is determined by using a burn chart,
such as the "rule of nines" burn chart.
|This chart divides the body surface into areas,
each of which represents 9 percent. The "rule of nines" is generally
used for quick assessment of the total body surface area (TBSA)
that has been injured. In infants and small children, the surface
area of the head and neck is greater and the lower extremity is
smaller than an adult. Therefore, the Lund-Browder chart more
accurately determines the extent of a burn.
Scalds with viscous oils will be more severe than with hot water.
Hot oils have greater thermal energy than does hot water because the
flash point is higher. Thus hot oils can reach temperatures into the
2000C range and still remain liquid.
Severity of burns is a function of intensity of burning agent and
duration of exposure. Steam has about 4000 times the burning energy
than does air. This is due to the heat of vaporization of water from
liquid to gas phase.
damage to the body caused by a strong acid. The type of burn depends
on the kind of acid and the length of time and amount of tissue exposed.
Emergency treatment includes washing the area with large amounts of
tissue damage caused by an alkaline compound, as lye. Treatment includes
flushing with water to wash off the chemical. Then vinegar or another
mildly acidic substance mixed with water is put on the burn to make
neutral any alkali that is left and to lessen the pain. The patient
should be taken right away to a hospital or other treatment center
if the damage is severe.
||THE AMERICAN SOCIETY FOR AESTHETIC
Material Copyright 2000-2013 Ramsey J. Choucair,