Page 53 - PJ MED OPS Handbook 8th Ed

NOTE: Significant over- or underestimation of burn wound size (by more than 10%) may lead
to significant morbidity. Underestimation may lead to under-resuscitation and organ failure
(e.g., renal failure, shock); overestimation may lead to resuscitation morbidity (e.g., respira-
tory failure, compartment syndromes).
1st degree (superficial) burns look like a mild-moderate sunburn. They appear red, blanch
readily, do not blister, and hurt when touched. Do NOT include these wounds in the estima-
tion of TBSA used for fluid resuscitation.
2nd degree (partial thickness) burns are moist, blister, blanch, and hurt. Include these wounds
in the TBSA estimation.
3rd degree (full thickness) burns appear leathery, dry, nonblanching, do not hurt, and often
contain thrombosed vessels that are visible. Include these wounds in the TBSA estimation.

First degree burns

Second degree burns

Chapter 6. Surgical and Medical Procedures n 51