Second-degree burn

Medium urgency
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A burn is an injury to the skin due to contact or exposure to a hazardous agent, such as heat, cold, electricity, radiation from the sun or certain chemicals. The degree of a burn is determined by its location in the body and the depth that reaches the skin. Symptoms may include blisters burns, pain, swelling, white, red or charred skin. If airway burns have been sustained, there may be burns in the head, face, neck, eyebrows or nose hair, burnt mouth and lips, coughing, shortness of breath, dark mucus with black spots, voice changes, etc. The diagnosis is made through a detailed medical history and complete physical examination. Treatment will depend on what kind of burn we have. Minor burns require a good pain control with cooling of the area (water or at room temperature) and the use of anti-inflammatory drugs, ensure the tetanus vaccination is current, appropriate wound care and monitor any signs of infection. As for major burns, hospital treatment is necessary, ensuring the maintenance of supportive measures (control of vital signs, airway remains clear, proper hydration), pain control, gastric protection, ensuring the tetanus vaccination is current and carrying out specific measures or local treatment, according to the assessment of the specialist.
Bibliographic references
  1. Phillip L Rice, Jr, Dennis P Orgill. Classification of burns. UpToDate. Aug 11, 2016.
  2. Arek Wiktor, David Richards. Treatment of minor thermal burns. UpToDate. Sep 17, 2015.
  3. Mayer Tenenhaus, Hans-Oliver Rennekampff. Local treatment of burns: Topical antimicrobial agents and dressings. UpToDate. Jul 11, 2016.
  4. Wasiak J, Cleland H, Campbell F. Dressings for superficial and partial thickness burns. Cochrane Database Syst Rev 2008; :CD002106.
  5. Hoogewerf CJ, Van Baar ME, Hop MJ, et al. Topical treatment for facial burns. Cochrane Database Syst Rev 2013; :CD008058.
  6. Wasiak J, Cleland H, Campbell F, Spinks A. Dressings for superficial and partial thickness burns. Cochrane Database Syst Rev 2013; :CD002106.
  7. Luis Miguel Gallego Torromé, Silvia Honorato Guerra, Domingo García Almagro. Quemaduras. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 1191:1196
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Burn


    Blisters larger than 0.5 cm / 0.2 inches


    Reddened skin


    Feeling of burning on the skin


    Skin alteration

Pre-hospital care recommendations

Remove garments that are not burned or stuck to the skin.
Apply cold water in small areas for 5 to 10 minutes.
Cover with a clean, dry sheet.
Take over-the-counter pain relievers or anti-inflammatories.
Maintain a fluid intake of 6 - 8 cups per day.