Burns

burns severe

Last Updated December 20th, 2021

Overview of burns

Numerous cases of burn injuries due to accidental or non-accidental circumstances are reported each day. The World Health Organization estimates 180,000 deaths due to burns annually. They also found that casualties due to burns are more frequent in low and middle-income countries. At present, the primary cause of morbidity is non-fatal burns. Impact on the body varies according to the degree of burn. But the bad news about burn injuries is that they are not completely curable. Adequate precautionary measures need to be adopted worldwide to prevent life-threatening injuries due to burns.

 

What are burns?

burns type 2Burn refers to injuries of the skin and underlying body tissues caused by heat, radiation, electricity or chemicals.

Depending on the severity, it may be classified as a first degree, second degree or third degree burn.

In most cases, especially the accidental incidents, burn injuries cause permanent damage to the body.

In the long term, burns might give rise to additional complications within the body.

 

What causes burns?

The burn incidents reported on a regular basis are mostly accidental, though there might be few other causes as well. The main causes of burns are as follows:

  • Heat: Heat from fire accounts for nearly 96 % burn cases in low and middle-income countries (as reported by WHO). Thermal burns can also be caused by steam, hot fluids etc. Scalds are dermal burns of superficial nature caused due to the accidental pouring of hot liquids on the skin. Burns caused by flames or fumes usually penetrate the dermal layer causing long-term injuries. They can also cause respiratory disorders.
  • Electricity: Electrical burn injuries are caused due to the passage of high voltage current across the body, creating entry and exit wounds. It can be caused due to electrocution by short-circuited wires, lightning etc. It can cause high-tension injuries which damage the organic tissues severely. In critical cases, cardiac arrests have been reported due to high-voltage attack.
  • Chemicals: Chemical burn injuries are caused due to contacts with strong chemicals like Hydrochloric acid, Sulphuric acid, and other harmful reagents. These types of burns are very severe in nature and cause serious damage to tissues.

 

What are the symptoms of burns?

Symptoms of burn injuries are usually very disastrous and are quickly identified. Few of the prominent symptoms are listed below:

  • Reddish patch all over the affected area, associated with mild to severe pain
  • Leathery texture and whitening of skin in case of severe injuries, causing lack of sensation when touched
  • Bleeding from skin
  • Blisters releasing fluids on rupture
  • Erythema can occur in few cases causing dilatation of blood vessels
  • Permanent loss of skin in the affected areas
  • Exposed skeletal structures due to severe injuries

 

What are the types of burns?

burns severeBurn injuries can be classified into four different categories depending on the intensity of damage. These are discussed below:

  • First degree burns: These are caused due to a mild inflammatory response by the skin. First degree burns are less critical and impact only the superficial layer of the epidermis. These are characterized by reddishness of the skin, which later on swells and can be peeled off as thin flakes. They normally take less than 7 days to heal completely. Sunburn is an example of the first-degree burn.
  • Second degree burns: Second-degree burn is somewhat serious in nature and affects the deeper layers till papillary dermis. It causes pinkish, painful blisters and when peeled off leads to loss of skin. It takes more than 3 weeks to heal. Chemical burns fall within the category of second-degree burn.
  • Third degree burns: It penetrates into all the layers of the epidermis and causes serious damage to the dermis, subcutaneous tissues, and hair follicles. The skin turns thick and leathery and loses sensitivity to touch. These types of burn injuries are caused due to fire or electrocution. The damaged skin may not regenerate naturally and might require grafting or related surgeries.
  • Fourth-degree burns: It damages the underlying structures such as tissues, muscles and In some cases, the bones may be exposed due to a severe depth of the burn. Fourth-degree burn injuries neither heal nor can be cured by grafting. The patients undergo amputation in few critical cases.

All these burn injuries manifest themselves in few specific zones of injuries such as-

  • Coagulation zone (cell damage)
  • Zone of stasis (damaged tissues)
  • Zone of hyperemia (inflammation)

 

Are there long-term effects of burns?

Burn injuries of different degrees not only cause localized effects but can also cause serious physiological damages to the body due to secretion of cytokines and other toxic chemicals at the site of injury. These are categorically presented below:

  • Cardiovascular effects: Burn injuries affect the cardiovascular system. Huge loss of intravascular proteins and fluids occur due to increased permeability of the blood capillaries during burns. Vascular thrombosis can occur due to sudden blockage of blood circulation to vital organs. This can further lead to decreased myocardial contractility. Hypoperfusion of vital organs can take place due to an insufficient oxygen supply.
  • Respiratory effects: Chronic respiratory syndromes might result from bronchial contraction when exposed to toxic chemicals. This can be accompanied by acute pulmonary diseases.
  • Metabolic effects: Basal Metabolic Rate (BMR) increases to three times the normal rate in burns. This can cause arrhythmia and muscular fatigue.
  • Immunological changes: Due to acute wound infection and severe damage to vital organic tissues during burns, the immune system of the body is attacked and weakened. This results in reduced production of antibodies and subsequent loss resistance to infections.

 

Treatment & Prevention

burns patientThe treatment of burns usually depends on the extent of the injury and the type of the burn. Minor burns can be treated with the help of over-the-counter medications. However, major burns require appropriate first aid care and assessment of the wound. OTC medications such as ibuprofen, naproxen, and acetaminophen can be given.

The treatment of severe burns comprises wound dressings, medications, therapy, surgery etc. The treatment aims at relieving pain, preventing infection, debriding (removing dead tissue), and reducing scarring. The treatment also aims to help in regaining function and addressing the emotional needs of the patient.

In case of severe burns, some of the medications and wound healing products employed are pain and anxiety medications, burn creams and ointments, dressings, antibiotics. In some cases, water-based treatments such as ultrasound mist therapy can be given. Intravenous (through a vein in the arm) administration of fluids is done in order to prevent dehydration and organ failure.

A tetanus shot may be also recommended after a burn injury.

Physical and occupational therapy may be required in cases of joint involvement. It helps in augmenting the muscle strength and coordination. It maintains the flexibility of the joint by helping the skin to stretch.

Surgical intervention: procedure such as skin grafts, plastic surgery, insertion of a feeding tube, tracheostomy (insertion of a hollow pipe into the airway passage).

Burns can be prevented by improving awareness, strengthening burn care, identifying and eliminating risk factors, encouraging burn prevention programmes, and training of communities in first aid.

 

 

Dos and Don'ts

Dos
  • Cool the affected region. Expose the burnt area to cool running water for nearly 15 minutes or until the pain reduces. Do not use ice. Use of ice on the burnt tissue can lead to further damage.
  • Get a tetanus shot. A booster dose of tetanus is recommended every 10 years.
  • Remove rings, bracelets or any other tight items immediately. The burnt area can swell and cause further discomfort.
  • Soothe the affected region. Apply a moisturizer or aloe vera lotion. This will enhance healing of the affected region.
Don'ts
  • Forget to apply a sunscreen and moisturizer regularly on the affected region when the wound starts healing.
  • Prick the small blisters.  In case of an already broken blister, clean the region with soap and water. This should be followed by applying an antibiotic paste and covering it with a non-sticky gauze bandage

 

 

 

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Free testosterone Free Testosterone Test measures and monitors the level of the free testosterone in the blood. Less than 4%…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Crossfit with rope
CrossFit: Now get the perfectly sculpted body with this explosive gym routine CrossFit is a fitness regimen that makes use of high-intensity exercises in a shorter period to achieve muscle…
Is it possible to achieve full body detox with Master Cleanse? Master cleanse is a diet consisting of a lemonade based beverage, a salt water drink and a herbal…
Astaxanthin: Why experts believe it could be 550x more potent than vitamin E! What is astaxanthin and why is this new supplement on the block touted as the most powerful antioxidant…
smelling-salts-benefits
The actual science behind smelling salts and how it helps in injury recovery Most smelling salts are a mixture of ammonium carbonate and some perfumes which are sniffed by an individual…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
myelogram
Myelography Myelography is an important diagnostic tool that is used to investigate and identify abnormalities in the spine and…
waterchestnut
Water Chestnuts: The tastiest ways to include this healthy tuber in your diet Water chestnut is not a nut after all. It is a tuber (much like the potatoes) growing close…
dandelion weight loss
Caralluma Fimbriata: How to eat this cactus to lose weight Caralluma fimbriata is a miracle cactus that can be safely consumed by most for losing weight and boosting…
woman with abdominal pain holding ovulation calendar
Ovulation – facts to know about ovulation Learn how and when ovulation occurs, demystify common misconceptions, identify symptoms, methods of detection and right period for…
folate test
Folate test The Folate test measures and monitors the levels of folic acid in the blood. This test is also…
maltodextrin sugar
Maltodextrin: What are the hidden health benefits of this food additive? Maltodextrin is one of the few food additives that has been relatively deemed safe. Many experts now have…
Juice Plus: Can you really replace actual fruits with pills?  Juice Plus supplements intend to fill nutritional gaps present in our daily diet. But how successful have they…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…
Miracle extract from the root of maca: 10 ways it can help you! Maca root has been used for years in herbal medicine. Today scientific research is unearthing fresh evidence in…
Lauric Acid: 8 health benefits you can derive from coconuts Appropriate use of saturated fats containing lauric acid can provide you numerous health benefits. This is the main…
kshar sutra
Kshar sutra treatment for piles, fissures and fistula Read to know the benefits and side effects of kshar sutra to treat anal piles, fissures, and fistula…
Tamarind: The top health benefits of this staple Asian ingredient Did you know this sweet and sour pulpy fruit does more than just add a tangy flavor to…
shiitake mushrooms healthy
What are Shiitake Mushrooms and why should you eat them? Shiitake Mushrooms are well known for their smoky and robust taste. However, did you know they are replete…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
CEA_test
Carcinoembryonic antigen (CEA) test CEA or carcinoembryonic test detects the presence of CEA antigen in your blood mainly & determines the effectiveness…
Ear pain model
Easy and safe tips for ear wax removal you can do at home Cerumen impaction generally occurs when an external object like cotton swabs are used to remove the ear wax.…
Propolis: Yet another amazing gift by the bees to the humans Bee propolis is yet another generous gift by the bees bestowed on the human race. They utilize substances…
blood elements analysis
Blood Element Analysis Test A blood element analysis is a blood test performed to measure the level of toxic elements such as…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
Hymenoplasty
Hymenoplasty Read on to find out all about hymenoplasty, the procedure, post-surgery care, the risks, and the benefits.
chloride test
Chloride Test A chloride test of the blood checks the level of chloride in body, an important factor governing the…
Rheumatoid Arthritis xray
Arthritis Profile Arthritis profile is a panel of primarily blood tests used to detect the presence of arthritis or check…
Turner syndrome and infertility
Infertility profile (women) The infertility profile tests in women are conducted to form a complete picture of the hormonal balance and…

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