Burns and Electrical Shock
Burns can result from dry heat (fire), moist heat (steam, hot liquids), electricity, chemicals or radiation (including sunlight). Treatment for burns depends on:
- The depth of the burn (whether it is first, second or third-degree)
- How much area of the body is affected
- The location of the burn
First-degree burns affect only the outer layer of skin. The skin area appears dry, red and mildly swollen. A first-degree burn is painful and sensitive to the touch. Mild sunburn and brief contact with a heat source (e.g., a hot iron) are examples of first-degree burns. First-degree burns should feel better within a day or two. They should heal in about a week if there are no complications.
Second-degree burns affect the lower layers of the skin as well as the outer skin. They are painful and swollen and show redness and blisters. The skin also develops a weepy, watery surface. Examples of second-degree burns are severe sunburn, burns caused by hot liquids and a flash from gasoline. Self-Care Procedures can be used to treat many second-degree burns, depending on where the burns are and how much area is affected.
Third-degree burns affect the outer and deeper skin layers as well as any underlying tissue and organs. They appear black and white and charred. The skin is swollen and underlying tissue is often exposed. The pain felt with third-degree burns may be less than with first- or second-degree burns or none at all because nerve endings may be destroyed. Pain may be felt around the margin of the affected area, however. Third-degree burns usually result from electric shocks, burning clothes, severe gasoline fires, etc. They always require emergency treatment. They may result in hospitalization and sometimes require skin grafts.
| Questions to Ask… | YES | NO |
| Is the burn a third-degree burn (Is there absence of pain, the presence of charred, black and white skin and exposure of tissue under the skin) | Seek emergency care | Go to next question |
| Is the burn a second-degree burn and on the face, hands, feet, genitals or on any joint (elbow, knee, shoulder, etc.) | Seek emergency care | Go to next question |
| Is the burn a second-degree burn (Has it affected more than the outer skin layer, and does it show signs of extensive blistering (i.e., covers more than three inches in diameter of the skin) | See a Doctor | Go to next question |
| Does the burn occur in an infant or a young child | See a Doctor | Provide Self-Care |
| Self-Care Procedures for Burns:
First-Degree Burns:
Second-Degree Burns:
Chemical Burns:
Electric Shock Burns: Once you’ve removed the person from the source of the contact, check to see if he is breathing. If not, begin mouth-to-mouth resuscitation immediately. If there is someone else available, have them call for resuscitation help from the fire department, ambulance, or police. Continue mouth-to-mouth breathing until the ambulance arrives. A second person may initiate CPR if necessary. Electrical burns are difficult to detect. A person who has received a severe electrical shock may have badly burned underlying tissue, thought the surface skin shows little evidence. Get the victim prompt medical attention. Unattended electrical burns can lead to serious complications. |
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April 14th, 2009 at 8:20 am
Very nice blog, I agree with most of what you are saying here…