There are three levels of burns:
- First-degree burns affect only the outer layer of the skin. They cause pain, redness, and swelling.
- Second-degree (partial thickness) burns affect both the outer and underlying layer of skin. They cause pain, redness, swelling, and blistering.
- Third-degree (full thickness) burns extend into deeper tissues. They cause white or blackened, charred skin that may be numb.
Second degree burn; First degree burn; Third degree burn
Before giving first aid, evaluate how extensively burned the person is and try to determine the depth of the most serious part of the burn. Then treat the entire burn accordingly. If in doubt, treat it as a severe burn.
By giving immediate first aid before professional medical help arrives, you can help lessen the severity of the burn. Prompt medical attention to serious burns can help prevent scarring, disability, and deformity. Burns on the face, hands, feet, and genitals can be particularly serious.
Children under age 4 and adults over age 60 have a higher chance of complications and death from severe burns.
In case of a fire, you and the others there are at risk for carbon monoxide poisoning. Anyone with symptoms of headache, numbness, weakness, or chest pain should be tested.
Burns can be caused by dry heat (like fire), wet heat (such as steam or hot liquids), radiation, friction, heated objects, the sun, electricity, or chemicals.
Thermal burns are the most common type. Thermal burns occur when hot metals, scalding liquids, steam, or flames come in contact with your skin. These are frequently the result of fires, automobile accidents, playing with matches, improperly stored gasoline, space heaters, and electrical malfunctions. Other causes include unsafe handling of firecrackers and kitchen accidents (such as a child climbing on top of a stove or grabbing a hot iron).
Burns to your airways can be caused by inhaling smoke, steam, superheated air, or toxic fumes, often in a poorly ventilated space.
Burns in children are sometimes traced to parental abuse.
- Pain (the degree of pain is not related to the severity of the burn -- the most serious burns can be painless)
- Peeling skin
- Red skin
- Shock (watch for pale and clammy skin, weakness, bluish lips and fingernails, and a drop in alertness)
- White or charred skin
Symptoms of an airways burn:
- Charred mouth; burned lips
- Burns on the head, face, or neck
- Change in voice
- Difficulty breathing; coughing
- Singed nose hairs or eyebrows
- Dark, carbon-stained mucus
FOR MINOR BURNS
FOR MAJOR BURNS
- Do NOT apply ointment, butter, ice, medications, cream, oil spray, or any household remedy to a severe burn.
- Do NOT breathe, blow, or cough on the burn.
- Do NOT disturb blistered or dead skin.
- Do NOT remove clothing that is stuck to the skin.
- Do NOT give the person anything by mouth, if there is a severe burn.
- Do NOT immerse a severe burn in cold water. This can cause shock.
- Do NOT place a pillow under the person's head if there is an airways burn. This can close the airways.
Call immediately for emergency medical assistance if
Call 911 if:
- The burn is extensive (the size of your palm or larger).
- The burn is severe (third degree).
- You aren't sure how serious it is.
- The burn is caused by chemicals or electricity.
- The person shows signs of shock.
- The person inhaled smoke.
- Physical abuse is the known or suspected cause of the burn.
- There are other symptoms associated with the burns
Call a doctor if your pain is still present after 48 hours.
Call immediately if signs of infection develop. These signs include increased pain, redness, swelling, drainage or pus from the burn, swollen lymph nodes, red streaks spreading from the burn, or fever.
Also call immediately if there are signs of dehydration: thirst, dry skin, dizziness, lightheadedness, or decreased urination. Children, elderly, and anyone with a weakened immune system (for example, HIV) should be seen right away.
To help prevent burns:
- Install smoke alarms in your home. Check and change batteries regularly.
- Teach children about fire safety and the hazards of matches and fireworks.
- Keep children from climbing on top of a stove or grabbing hot items like irons and oven doors.
- Turn pot handles toward the back of the stove so that children can't grab them and they can't be accidentally knocked over.
- Place fire extinguishers in key locations at home, work, and school.
- Remove electrical cords from floors and keep them out of reach.
- Know about and practice fire escape routes at home, work, and school.
- Set temperature of water heater at 120 degrees or less.
Singer AJ, Taira BR, Lee CC, Soroff HS. Thermal burns. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 60.
Gallagher JJ, Wolf SE, Herndon DN. Burns. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 22.
Bethel CA, Mazzeo AS. Burn care procedures. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 38.
Holmes JH, Heimbach DM. Burns. In: Brunicardi FC, Andersen DK, Billiar TR, et al, eds. Schwartz’s Principles of Surgery. 9th ed. New York, NY: McGraw-Hill; 2010:chap 7.
Last reviewed 1/13/2010 by Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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