• Burn is define as a injury to tissue or breakdown in
the continuity of the skin result from direct exposure to any thermal, chemical, electrical or radiation source. Etiology • Burns can be caused from a number of substance or item that come into direct contact with the skin or body. • Types of burn or burn injuries are categorized by mechanism of injury. Thermal burn • Thermal burns are caused from exposure to flame, hot liquid/ semisolid(tar) or hot object. • Specific example of thermal burns are those sustained in residential fires, cooking accident, crackers. Chemical burn • Chemical burns caused by contact with srong acid, alkalis. • The concentration, volume, type of chemical, as well as the duration of contact, determine the severity of injury. Electric burn • Electric burn injuries are caused by heat that is generated by the electrical energy as it passes through the body. • Electrical injuries result from contact with faulty electrical wiring or high voltage power lines. • The extent of injuries is influenced by the duration of contact, the intensity of the current the type of current. • Current greater than 1000 v is considered to be high voltage current and is associated with extensive tissue damage. Radiation burn • Radiation burn are the least common type of burn injury that caused by exposure to a radio active source. • These type of injuries have been associated with nuclear radiation accident, use of ionizing radiation in industry, and therapeutic irradiation, sunburn and prolong exposure to ultraviolet rays is also considered to be a radiation burn. • The amount of radio active energy recived after exposure depends on the distance between person and the radiation source, the duration of the exposure, the extent of body surface area exposed. Inhalation burn • Exposure to smoke commonly occurs with flame injuries, particularly if the victim was trapped in an enclosed and smoke filled space. • Exposure to smoke, poisonous gases and direct thermal heat cause the inhalation injury. Types of burn burn is classified
according to depth of injury
1. 1st degree burn 2. 2nd degree burn 3. 3rd degree burn 4. 4th degree burn according to mechanism of injury 1. Thermal burn 2. Chemical burn 3. Electrical burn 4. Radiation burn 5. Inhalation burn • 1st degree: effected epidermis Erythema, blanches without pressure painful • 2nd degree: Wet, shiny, blisters Blanches with pressure Painful Very sensitive to touch, air • 3rd degree: Colour variable( deep red, white, black, brown) Dry surface Visible vessels No blanching Pinprick sensation but pain less • 4th degree: Colour variable, limited movement Visible bone or muscles painless