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Burns that affect only the superficial skin layers are known as superficial or first-degree burns. [ 2 ] [ 11 ] They appear red without blisters, and pain typically lasts around three days. [ 2 ] [ 11 ] When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn . [ 2 ]
Burn scar contracture is the tightening of the skin after a second or third degree burn. When skin is burned, the surrounding skin begins to pull together, resulting in a contracture. It needs to be treated as soon as possible because the scar can result in restriction of movement around the injured area. This is mediated by myofibroblasts. [1]
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Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Negative pressure wound therapy device. Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess wound exudate and to promote healing in acute or chronic wounds and second- and third-degree burns.
The most frequent event where people get burned by fire is during house fires encountered by firefighters and trapped occupants, [8] where 85% of all fire deaths take place. [9] Fireworks are another notable cause of fire burns, especially among adolescent males on holidays such as Independence Day in the US. [6]
Historically, frostbite has been classified by degrees according to skin and sensation changes, similar to burn classifications. However, the degrees do not correspond to the amount of long term damage. [10] A simplification of this system of classification is superficial (first or second degree) or deep injury (third or fourth degree). [11]
Scalding is a form of thermal burn resulting from heated fluids such as boiling water or steam. Most scalds are considered first- or second-degree burns, but third-degree burns can result, especially with prolonged contact. The term is from the Latin word calidus, meaning hot. [1]