{"id":1060,"date":"2020-01-08T14:44:59","date_gmt":"2020-01-08T03:44:59","guid":{"rendered":"https:\/\/urgomedical.fr\/?p=1060"},"modified":"2021-11-24T19:51:45","modified_gmt":"2021-11-24T08:51:45","slug":"burns","status":"publish","type":"post","link":"https:\/\/urgomedical.com.au\/hcp\/wound-types\/burns","title":{"rendered":"Burns"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1060\" class=\"elementor elementor-1060\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7bd9a97 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7bd9a97\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1662746\" data-id=\"1662746\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4207de5 elementor-widget elementor-widget-text-editor\" data-id=\"4207de5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1063 size-full\" src=\"https:\/\/urgomedical.com.au\/wp-content\/uploads\/2020\/01\/GettyImages-168493254-br\u00fblure-BD.jpg\" alt=\"la brulure d\u00e9finition et explication\" width=\"640\" height=\"427\" \/><\/p><p>This type of accident is most often domestic, occurring in the kitchen or in the garden especially. In almost half of cases, burns are caused by contact with a hot liquid, fire or hot object. However, explosions, chemical burns and exposure to light or radiation are a lot less common.\u00a0The arm is the part of the human body the most often affected,\u00a0followed by the head and the leg. Burns can also lead to functional, aesthetic and psychological effects, and even infection if there is significant skin loss. Burns affect the hands in one out of two cases.<\/p><h3>What is a burn?<\/h3><p>A burn is above all a skin lesion which sometimes affects underlying tissue. There are four types:<\/p><ul><li><strong><span style=\"color: #33cccc;\">Thermal, <\/span><\/strong>it occurs ffurther to contact with a solid (embers, hot iron, oven etc.), liquid (boiling water\/oil\/burning hydrocarbon) or an explosion. The skin is thus partially or fully destroyed. However, biting cold can also cause burns.<\/li><li><span style=\"color: #33cccc;\"><strong>Chemical,\u00a0 <\/strong><\/span>caused by a caustic product (example: acid).<\/li><li><strong><span style=\"color: #33cccc;\">Electrical, <\/span><\/strong>caused by contact with an electric current or arc.<\/li><li><strong><span style=\"color: #33cccc;\">Radiation, <\/span><\/strong>essentially solar ultraviolet radiation and x-ray or nuclear radiation.<\/li><\/ul><h3>How is the severity of a burn evaluated ?<\/h3><p>The severity of the skin burn<sup>3<\/sup> depends on three main criteria: <strong>it\u2019s depth, it\u2019s extent over the body and its location.<\/strong><\/p><h4><strong>\u00a0 \u00a0&#8211; How is the depth evaluated ?<\/strong><\/h4><p style=\"text-align: center;\"><img decoding=\"async\" class=\"alignnone wp-image-1061 size-full\" src=\"https:\/\/urgomedical.com.au\/wp-content\/uploads\/2020\/01\/GettyImages-846734544-cut.jpg\" alt=\"Les degr\u00e9s de la brulure\" width=\"910\" height=\"378\" \/><\/p><h4>\u00a0<\/h4><p>We use the term degrees to describe the appearance of the skin and its lesions.<\/p><ul><li><strong>First-degree burn<\/strong>: highly pronounced redness causing moderate pain and only affecting the superficial layer of the skin. The skin is intact elsewhere. A typical example is sunburn.<\/li><li><strong>Superficial second-degree burn<\/strong>: appearance of blisters containing clear fluid, a sign that the epidermis is almost fully destroyed. The wound is red and painful.<\/li><li><strong>Deep second-degree burn<\/strong>: multiple blisters appear immediately. However there is less pain, as the nerve endings are destroyed. The wound is whitish pink.<\/li><li><strong>Third-degree burn<\/strong>: brown, white or black in colour, it is painless. The epidermis and the dermis are fully destroyed.<\/li><\/ul><h4><strong>\u00a0 \u00a0&#8211; How is the extent of a burn evaluated?<\/strong><\/h4><p>It is estimated as a percentage body surface area. It can also be calculated using the palm of the hand which represents 1% of the body surface area.<\/p><h4><strong>\u00a0 \u00a0&#8211; Location<\/strong><\/h4><p>Some areas are to be taken particularly seriously especially the face, hands, feet and the perineum.<\/p><p>Other factors are also to be taken into account such as the person\u2019s age (children under 5 or adults over 60) and also whether the person is suffering from a chronic disease (heart failure, respiratory failure, or diabetes for example).<\/p><p><span style=\"color: #ff0000;\"><strong>If the burn exhibits one of these severity criteria, dial 15 or 112.<\/strong><\/span><\/p><h3>How should a burn be treated?<\/h3><p>A burn is skin damage. It\u2019s initial local treatment aims to restore the cutaneous tissue and should attempt to minimise any potential after-effects.<\/p><p>Even if first-degree burns heal spontaneously (after peeling slightly), second- and third-degree burns will need specific treatment which can only be dispensed by a healthcare professional.<\/p><h4><strong>\u00a0 \u00a0&#8211; First thing to do<\/strong><\/h4><p>Before doing anything, the first thing you should do in the event of a thermal or chemical burn is to place the affected area under a stream of water (ambient temperature) for 5 to 10 minutes. This will prevent the heat from travelling to the deeper layers, will remove the residues of the chemical product (in the event of a chemical burn), and will reduce swelling and soothe the pain.<\/p><p>If the person\u2019s clothing is covering the affected area, do not remove it under any circumstances. This carries the risk of detaching the skin if it is stuck. It should be noted that a serious burn can cause hypothermia (shivering) since the skin barrier no longer plays its protective role.<\/p><h4><strong>\u00a0 \u00a0&#8211; Creating an environment propitious to healing<\/strong><\/h4><p>A second-degree burn requires a non adherent dressing to promote healing. This protection also prevents the risk of infection.<\/p><p>In effect, keeping the wound moist can guarantee optimal healing and facilitate dressing replacement, which is necessary every 2 to 3 days.<\/p><p>Partial or total skin graft is indicated in the event of a third-degree burn. Therefore, deep second-degree burns and third-degree burns must be treated in a specialist centre.<\/p><p>As a result, healing times vary according to the degree of the burn.<\/p><ul><li>First-degree: 3 to 4 days.<\/li><li>(Superficial) second-degree burn: 10 to 15 days.<\/li><li>(Deep) second-degree burn: 15 to 20 days.<\/li><li>Third-degree burn: long-term healing, often requiring a graft.<\/li><\/ul><h3>And afterwards?<\/h3><p>It is then necessary to closely monitor healing.<\/p><p>In other words, if you see no improvement after several days, or if new symptoms appear, talk to your nurse or see a doctor.<\/p><p>Also, ensure the scar is not exposed to the sun for at least 6 months.<\/p><h6>\u00a0<\/h6><h6><span style=\"color: #000000;\"><em>(1)\u00a0<\/em><\/span><span style=\"color: #000000;\"><em>Burns victims hospitalised in France in 2014 and progression since 2009. Studies and surveys. Sant\u00e9 Publique France. June 2018. Available at: <a style=\"color: #000000;\" href=\"https:\/\/www.santepubliquefrance.fr\/maladies-et-traumatismes\/traumatismes\/brulures\/documents\/rapport-synthese\/les-victimes-de-brulures-hospitalisees-en-france-metropolitaine-en-2014-et-evolution-depuis-2009\">https:\/\/www.santepubliquefrance.fr\/maladies-et-traumatismes\/traumatismes\/brulures\/documents\/rapport-synthese\/les-victimes-de-brulures-hospitalisees-en-france-metropolitaine-en-2014-et-evolution-depuis-2009<\/a><\/em><\/span><\/h6><h6><span style=\"color: #000000;\"><em>(2) <span style=\"color: #000000;\">Annual report on burns epidemiology in France. 2008. <a style=\"color: #000000;\" href=\"http:\/\/www.sfb-brulure.com\/index.php\/documentation\/epidemiologie.html\">http:\/\/www.sfb-brulure.com\/index.php\/documentation\/epidemiologie.html<\/a><\/span><\/em><\/span><\/h6><h6><span style=\"color: #000000;\"><em>(3) <\/em><\/span><span style=\"color: #000000;\"><em>Assurance Maladie. How to rapidly assess the severity of a burn? Website Ameli-sante.fr 2015. Available at:\u00a0<a style=\"color: #000000;\" href=\"http:\/\/www.ameli-sante.fr\/brulures\/comment-reconnaitre-rapidement-la-gravite-dune-brulurenbsp.html\">http:\/\/www.ameli-sante.fr\/brulures\/comment-reconnaitre-rapidement-la-gravite-dune-brulurenbsp.html<\/a>.<\/em><\/span><\/h6>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>This type of accident is most often domestic, occurring in the kitchen or in the garden especially. In almost half of cases, burns are caused by contact with a hot liquid, fire or hot object. However, explosions, chemical burns and exposure to light or radiation are a lot less common.&nbsp;The arm is the part of &hellip;<\/p>\n","protected":false},"author":111,"featured_media":1063,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Burns - Urgo Medical healing expert tells you more<\/title>\n<meta name=\"description\" content=\"Burns cause 8000 hospitalizations every year. Explanations, degrees of burn and first gestures. 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