<< Chapter < Page Chapter >> Page >

Burns

A burn results when the skin is damaged by intense heat, radiation, electricity, or chemicals. The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset dehydration, as well as intravenous nutrients that enable the body to repair tissues and replace lost proteins. Another serious threat to the lives of burn patients is infection. Burned skin is extremely susceptible to bacteria and other pathogens, due to the loss of protection by intact layers of skin.

Burns are sometimes measured in terms of the size of the total surface area affected. This is referred to as the “rule of nines,” which associates specific anatomical areas with a percentage that is a factor of nine ( [link] ). Burns are also classified by the degree of their severity. A first-degree burn    is a superficial burn that affects only the epidermis. Although the skin may be painful and swollen, these burns typically heal on their own within a few days. Mild sunburn fits into the category of a first-degree burn. A second-degree burn    goes deeper and affects both the epidermis and a portion of the dermis. These burns result in swelling and a painful blistering of the skin. It is important to keep the burn site clean and sterile to prevent infection. If this is done, the burn will heal within several weeks. A third-degree burn    fully extends into the epidermis and dermis, destroying the tissue and affecting the nerve endings and sensory function. These are serious burns that may appear white, red, or black; they require medical attention and will heal slowly without it. A fourth-degree burn    is even more severe, affecting the underlying muscle and bone. Oddly, third and fourth-degree burns are usually not as painful because the nerve endings themselves are damaged. Full-thickness burns cannot be repaired by the body, because the local tissues used for repair are damaged and require excision (debridement), or amputation in severe cases, followed by grafting of the skin from an unaffected part of the body, or from skin grown in tissue culture for grafting purposes.

Calculating the size of a burn

This diagram depicts the percentage of the total body area burned when a victim suffers complete burns to regions of the body. Complete burning of the face, head and neck account for 19% of the total body area. Burning of the chest, abdomen and entire back above the waist accounts for 36% of the total body area. Anterior and posterior surfaces of the arms and hands account for 18% of the total body area (9% for each arm). The anterior and posterior surface of both legs, along with the buttocks, accounts for 36% of the total body area (18% for each leg). Finally, the anterior and posterior surfaces of the genitalia account for 1% of the total body area.
The size of a burn will guide decisions made about the need for specialized treatment. Specific parts of the body are associated with a percentage of body area.

Skin grafts are required when the damage from trauma or infection cannot be closed with sutures or staples. Watch this video to learn more about skin grafting procedures.

Scars and keloids

Most cuts or wounds, with the exception of ones that only scratch the surface (the epidermis), lead to scar formation. A scar    is collagen-rich skin formed after the process of wound healing that differs from normal skin. Scarring occurs in cases in which there is repair of skin damage, but the skin fails to regenerate the original skin structure. Fibroblasts generate scar tissue in the form of collagen, and the bulk of repair is due to the basket-weave pattern generated by collagen fibers and does not result in regeneration of the typical cellular structure of skin. Instead, the tissue is fibrous in nature and does not allow for the regeneration of accessory structures, such as hair follicles, sweat glands, or sebaceous glands.

Questions & Answers

through remodeling and formation of new bones
Amoako Reply
please what is it
Monica
what is blood pressure
HALLELUYAH
what is blood pressure reading
HALLELUYAH
sketch and label blood vessels
HALLELUYAH
draw the male reproductive system
Jeremaih Reply
hello am new here
Pednyin
how life
Jeremaih
Explain how different foods can affect metabolism
Abraham Reply
what is Endocrine system?
Islam Reply
which secrete hormones and other products direct into the blood
Aadi
Cell is basic, structural and functional unit of life
Kabuja Reply
The cell is the structural and functional unit of all living organisms, and is sometimes called the "building block of life." Some organisms, such as bacteria, are unicellular, consisting of a single cell.
Br_
hi am new here..wish to join you in this conversation
Rachel
welcome Rachel am Brianito
hingi
hey
HALLELUYAH
can some one help
HALLELUYAH
what is the basic function of the lymphatic system
HALLELUYAH
The other main function is that of defense in the immune system. Lymph is very similar to blood plasma: it contains lymphocytes. It also contains waste products and cellular debris together with bacteria and proteins. Associated organs composed of lymphoid tissue are the sites of lymphocyte producti
Adnan
the function of lymphatic system are 1fluid balance 2 lipid absorption and 3 defence
Sidra
destroyed microognism
Usman
lymphatic systems main function is to transport lymph
Colleen
may i know the meaning of infestation of parasite?
Aminiely
Which of the following accurately describe external respirations
Robin Reply
different between anatomy and physiology
Samwel Reply
anatomy is the study of STRUCTURE of the body while physiology is the study of the function of the part of the body
Gborgbor
Anatomy deals with the structure and parts of the body while physiology is the function of the the body parts
Archie
not understanding what is a cell
Kesa Reply
its the fundamental unit of life or its the primary step in which two or more cell combine to form a tissue .
Sidra
Is the smallest structural and functional unit of life
Aliyu
cell is the basic you unit of life
Esther
what is osteomalàcia
Ellen Reply
what is hydroxyapitate
Ellen
Hydroxyapatite, also called hydroxylapatite, is a naturally occurring mineral form of calcium apatite with the formula Ca₅(PO₄)₃, but it is usually written Ca₁₀(PO₄)₆(OH)₂ to denote that the crystal unit cell comprises two entities. Hydroxyapatite is the hydroxyl endmember of the complex apatite gro
Br_
..up
Br_
what's the best way to memorize the terms and what it does
Kesa
osteomalacia is where inorganic or mineral which is calcium and phosphorus are removed from a bone....this will make the bone become flexible n in children is called ricket
Rashida
wat work does anatomy do in the hospital and can they get work fast after finishing
SULE Reply
what is the meaning of suture?
praba Reply
it is a protective layer of brain
Madhureddy
it is a kind of non movable joint present between skull bones
neha
suture is an example of fibrous joint and is synatrosys(is not movable)
Rashida
a junction between the sclerites of an imsect's body
Aadi
c organ,organ system, organism
Dorothy Reply
reproductive sytstem
Dorothy
describe structure and functions of spleen
Umesh Reply
why calcium does not prodecessed by biological process?
James Reply
when calcium isn't processed that becomes Calcium Homeostasis
Br_
follow this link for extra info on all processes of calcium including calcium metabolism > ***google.com/url?sa=t&source=web&rct=j&url=***opentextbc.ca/anatomyandphysiology/chapter/6-7-calcium-homeostasis-interactions-of-the-skeletal-system-and-other-organ-systems/&ved=2ahUKEwi06LTw-sP
Br_
Copy it and paste it on your browser url
Br_
What are the functions of batholine glan
Aliyu Reply
secretions
Sadia
Of what
Aliyu

Get the best Anatomy & Physiology course in your pocket!





Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Anatomy & Physiology' conversation and receive update notifications?

Ask