0071643192.pdf

TRAUMA

TABLE 3.12. Burn Clinical Findings and Prognosis

TYPE CLINICALFINDINGS PROGNOSIS

Superficial Similar to sunburn: red, painful, Heals without scarring in 1 wk

tender, no blistering

Superficial partial-thickness Red, painful, blistering, blanching Hair follicles and sweat glands are retained.

Usually heals with minimal scarring in 2–3 wk

Deep partial-thickness Red to pale white-yellow, blistering Healing can take 3–8 wk with scarring, and

with rupture, no blanching. contracture.

Decreased two-point discrimination

but can feel pressure

Full-thickness Charred, white/black, painless, and Surgical grafting is required unless <1 cm

leathery diameter.

Subdermal Severe burns Life and limb threatening

FIGURE 3.19. Adult TBSA diagram.

(Reproduced, with permission, from Tintinalli JE, Kelen GD, Stapczynski JS. Emergency

Medicine: A Comprehensive Study Guide, 6th ed. New York: McGraw-Hill, 2004:1221.)

Area of the patient’s palm is

approximately 1% TBSA,

which is useful when

evaluating children.