Thermal or electrical burn in Adult
Scald burns are the most common type of thermal burn to the skin, and severity is dependent on duration and on the viscosity of the liquid involved. Flame burns are the next most common, followed by flash burns and contact burns to the skin. E-cigarettes and exploding lithium batteries from cell phones have been associated with thermal burns.
Electrical burns of skin are of two main types, depending on the voltage involved:
- High voltage (>1000 volts)
- Low voltage (<1000 volts)
To determine the TBSA involved, one can use the "rule of nines" or the Lund-Browder chart. It is important to note that because of differences in body proportion, the percentage assigned for each body area is different in adults and children.
Depth of skin injury in burn is classified as follows:
- Superficial (1st degree) – Involves the epidermis only.
- Partial thickness (2nd degree) – Involves all of the epidermis and part of the dermis. Characterized further according to the depth of dermal injury: superficial partial thickness or deep partial thickness.
- Full thickness (3rd degree) – Involves all of the epidermis and the dermis.
Immunocompromised Patient Considerations:
Burns in this group can result in increased morbidity and mortality due to infection.
T30.0 – Burn of unspecified body region, unspecified degree
314534006 – Thermal burn
- Chemical burn (eg, hydrogen fluoride, ammonia and sulfur dioxide) – Important to differentiate the agent involved.
- Cellulitis – May need IV antibiotics and, if left untreated, can result in sepsis.
- Toxic epidermal necrolysis