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Burn Classification and Rehabilitation Occupational Therapy

Burn Classification Video Note

Burn Classification

  • Burns are classified by depth of the skin involved
  • Healing time is correlated to hypertrophic scar, functional impairments, contractures
    • If takes 21 days or longer: higher risk

Burn Classification OT



Hand and Upper Extremity | OT Notes

  • Superficial burn: 1st degree
    • Burn depth: upper layers of the epidermis
      • Occurring on the surface
    • Cause: sunburn, brief contact with hot liquid (coffee)
    • Pain: mild discomfort, pain
    • Clinical presentation: dry, redness, no blisters
    • Healing time: 3-7 days
    • Scar potential: None
  • Superficial partial thickness: 2nd degree
    • “partial” = “dermis”
    • Burn depth: Epidermis and 1/3 dermis
    • Causes: contact with hot metal (curling iron)
    • Clinical presentation: red, wet, blister
    • Pain: significantly painful
    • Healing time: less than 2 weeks
    • Scar potential: low risk
  • Deep partial thickness: 2nd degree
    • Burn depth: epidermis, 2/3 dermis, hair follicles, sweat glands
    • Causes: flames, exposure to intense heat (candle, fire)
    • Clinical presentation: red and white areas, possibly ruptured blisters
      • White means deeper burn and poor blood flow -> higher risk of infection and could turn into full thickness burn
    • Pain: severe, most painful
    • Healing time: longer than 2 weeks (3-5 weeks)
      • Skin graft may be considered
    • Scar potential: High
  • Full Thickness: 3rd degree
    • Burn depth: epidermis, dermis, hair follicles, sweat glands, nerve endings
    • Surgical Intervention REQUIRED
    • Causes: chemical, extreme heat
      • Chemical will seep into skin unless washed with neutral solution
    • Clinical presentation: pale, dry, does not blanch with pressure, no sensation
    • Pain: no pain
      • peripheral areas that will be in deep partial thickness and will have pain- peripheral nerve pain
    • Healing time: months, varies
    • Scar potential: extremely high
  • Subdermal: 4th degree
    • Burn depth: full thickness, underlying tissue (muscle, tendon, fat and bone exposed)
    • Surgical Intervention REQUIRED and possibly amputation
      • Will affect organs, brain, eye sight
    • Causes: electrical, house fires (lightening bolt, electrical cord)
    • Clinical presentation: charring
    • Pain: No pain, peripheral nerve damage
    • Healing time: ???
    • Scar potential: extreme high

Pediatrics Occupational Therapy | Infant Reflexes, Feeding Development, Scissor skills and GM Peds Milestones

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Hand and Upper Extremity

Hand and Upper Extremity | OT Notes

Pediatrics Occupational Therapy

Pediatrics Occupational Therapy | Infant Reflexes, Feeding Development, Scissor skills and GM Peds Milestones