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BURNS

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PHYSICAL DATA

Vital signs
Psychological status
Position and thorough description of burn(s)
Signs of an infection (purulent drainage, strong aroma,
inflammation or swelling, etc. ) at or around burn site
Pain evaluation (position, nature, severity, etc. )
Any other wounds suffered at time of burn

MEDICAL BACKGROUND

Patient’s age and sex
Detailed explanation of how burn occurred,
especially if new
Outcomes of burn therapies to date
All current diagnoses
All current prescription drugs, including any recent
changes
Any recent lab or diagnostic test results

EXPLANATION OF 1ST, 2ND, AND 3RD DEGREE BURNS
First Degree
Pink to red, slight edema, which
decreases rapidly
Pain may last up to 48 hrs,
allayed by cooling
Sunburn is a common illustration

Second Degree
Superficial:
Pink or red; blisters (vesicles)
form; weeping, edematous,
and elastic
. Superficial layers of skin are
destroyed; would be moist and
painful
Hair does not pull out easilv
Deep dermal:
Mottled white and red; edematous
reddened spots blanch on stress
May be yellowish, but delicate and
elastic – may or may not be sensitive
to contact; sensitive to cold air. Hair pulls out easily

3rd Degree
Damage of epithelial tissues; epidermis and dermis
destroyed. Reddened spots do not blanch
with pressure
Not painful; inelastic; pigmentation
ranges from waxy white to brownish;
leathery devitalized tissue is
referred to as eschar
Destruction of epithelium, fat
muscles and bone.

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