Burns, Burns Size, Criteria for admission to a Burn Centre, General Management,
Burns classification: There are 4 degrees - the 2nd degree divided into superficial and deep Epidermis, erythemia, blanching changes, Pain There are 2 subdivisions: Superficial - Epidermis and upper dermis, erythemia, blanching changes, Pain - Blisters and Hair Follicles present Deep - Epidermis and deeper dermis, erythemia, NO blanching changes , Limited Pain - Absent Blisters BUT SOME Hair Follicles present Full thickness burns, leathery eschar, NO PAIN, NUMB, NO HAIR Underlying Muscle and Bone, Leathery Eschar, NO PAIN, Numb no hair Burn Size: Total Body Surface Area (TBSA) - affected by the second degree or third degree burn using the rule of NINE Full head - 9% TBSA Each full arm - 9% TBSA Each full leg - 18% TBSA Trunk anterior - 18% TBSA Trunk Posterior - 18% TBSA Groin is 1% TBSA For patchy burns the size of the PATIENTS palm is 1% (it would be a tragedy if you used your palm to measure 1% of an infant - duh) On second thoughts please use the Lund-Browder cha