Treatment of burns of 2 degrees
Author: ambulance doctor Deryushev A.N.
Second-degree burns are related to surface burns, since their depth does not affect the growth layer of the skin, therefore, the skin in the places of such burns is capable of recovering itself, without surgical intervention. At the time of the burn, there is hyperemia (redness) and swelling of the skin. Characteristic for the second degree of burn and the formation of bubbles filled with a clear liquid. This is accompanied by burning pain, which can persist for two to three days.
2nd degree burn examination
During the examination, the area of the burn is determined based on the rule of "nine" or the rule of "palm". This circumstance is important, because with a significant burn area, even if its degree does not exceed the second, there is a danger of developing a burn shock and then a burn disease, and these formidable complications require hospital treatment. So the indication for hospitalization is burns of 2 degrees with an area of more than 5% in adults and more than 1-2% in children. The presence of bubbles with transparent contents, allows you to accurately set the degree of burn. In addition, the skin burn is combined with a burn of the upper respiratory tract - hospitalization of the patient for intensive care is also mandatory.
Treatment of second degree burns
Emergency care for burns of the second degree should begin with the usual measures, that is, by cooling the burnt surface with cold water, which allows to avoid thermal (or chemical burns) damage to deeper lying tissues.
In no case should it be advisable to open the blisters generated by a second degree burn, as this in almost 100% of cases leads to infection of the wound, with the formation of further suppuration and, accordingly, weighting of the patient's condition due to general toxic reactions.
It is obligatory to carry out adequate anesthesia with such burns. Under normal conditions, at home, it can be any available analgesics, starting with the usual analgin and paracetamol, it is possible to use drugs that not only have analgesic, but also anti-inflammatory effects - such as ketorol, ketanes, ketoralak.
As with the first degree of burn, it is possible to use antihistamines - suprastin, tavegil, phencarol, claritin. If the patient remains at home for further treatment - it is recommended to continue taking pain medications, use of disaggregants (blood thinners) - such as aspirin or clopidogrel, ascorbic acid - is possible.
An abundant drink is recommended, which helps to normalize the volume of circulating blood, especially if there is edema.
In general, the treatment of burns of 2 degrees covers all measures for the treatment of first degree burns . The detailed information is indicated by reference. With the possibility of providing medical assistance, anesthesia can be performed by both non-narcotic and narcotic analgesics, which are administered intramuscularly, and, if possible, by intravenous access, which is preferable, since with massive burns, the properties of the skin by absorption of medications decrease, effect of drugs. On the burn wound, it is possible to impose a dry sterile bandage, or a bandage with an antiseptic. If a burn requires delivery of the patient to a hospital, it is not recommended to use ointments and creams, as this subsequently makes it difficult for the surgeon to examine the depth of the burn and the degree of tissue damage.
The victims must be hospitalized with any degree of burn if their area exceeds 10%, as well as the elderly and the elderly with concomitant diseases of the cardiac and respiratory systems. In addition, it is recommended to hospitalize patients with suspected burns of the upper respiratory tract and with electric burns of any degree of area and localization.
Author: ambulance doctor Deryushev A.N.
Burns of the third degree are divided into two subgroups - burns of the third "A" degree and burns of the third "B" degree. And the third degree "A" burn is still classified as superficial burns, and the third "B" degree is a deep burn, the difference seems to be quite small, only a few millimeters, but it is, in fact, very significant - the whole thing in the germ layer of skin. If the germ layer is damaged, the burn becomes deep by definition, which means that such a burn wound itself does not heal - it will require the restoration of the skin by surgical methods, this is a complex and lengthy process. Burn 2 degrees can also be compared and understand the fundamental differences.
Author: Ambrosova I.A.
Depending on the factors affecting the burns are divided into:
1. Chemical (burns with alkalis or acids).
2. Thermal (steam, hot liquids, flame, contact burns).
3. Sun burns.
Doctor A. Deriushev
Burns occur due to high temperatures in particular boiling water. From this effect, coagulation of skin proteins is observed, the skin cells are killed and then subjected to necrosis. The higher the temperature and the longer it is, the deeper the skin will be affected.
author: doctor Ambrosova I.A.
Our world is filled with thousands of all kinds of plants, many of which are used by folk healers to treat certain ailments. It should be noted that among medicinal plants there are also those that have a complex effect on the human body. One of these miracle plants is the sea-buckthorn.
Seabuckthorn is a shrub with edible, mildly sourish fruits. Their acid is explained by the high content of vitamin C.