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Burn depth

Burn depth
Depth Cause Appearance Sensation Healing time
Superficial (epidermal)

Ultraviolet exposure (eg, sunburn)

Very short flash

Dry, red

Blanches with pressure

Painful 3 to 6 days
Superficial partial-thickness

Scald (spill or splash)

Short flash

Blisters

Moist, red, weeping

Blanches with pressure

Painful to temperature and air 7 to 20 days
Deep partial-thickness

Scald (spill)

Flame

Oil

Grease

Blisters (easily unroofed)

Wet or waxy dry

Variable color (patchy to cheesy white to red)

Does not blanch with pressure

Painful, perceptive of pressure >21 days
Full-thickness

Scald (immersion)

Flame

Steam

Oil

Grease

Chemical

Electrical

Waxy white to leathery gray to charred and black

Dry and inelastic

No blanching with pressure

Deep pressure only Never (if >2% total body surface area)
Adapted from:
  1. Mertens DM, Jenkins ME, Warden GD. Out patient burn management. Nurs Clin North Am 1997; 32:343.
  2. Peate WF. Outpatient management of burns. Am Fam Physician 1992; 45:1321.
  3. Clayton MC, Solem LD. No ice, no butter. Advice on management of burns for primary care physicians. Postgrad Med 1995; 97:151.
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