Third-degree burns

High urgency
-Moderately severe
A burn is a lesion on the skin due to contact or exposure to a dangerous agent. The degree of a burn is determined by its location on the body and by the depth to which it affects the skin. In third-degree burns, you can see charred tissue and the nerve endings that are responsible for transmitting pain are destroyed so they don’t hurt. The diagnosis is made through a detailed medical history, complete physical examination, laboratory tests (blood and urine), electrocardiogram and radiological monitoring of the chest as medically necessary. Treatment must be performed in a hospital ensuring supportive measures, pain control, gastric protection, tetanus vaccine and by carrying out specific measures as assessed by the specialist.
Bibliographic references
  1. Phillip L Rice, Jr, MD, Dennis P Orgill, MD, PhD. Classification of burns. UpToDate. Aug 11, 2016.
  2. Arek Wiktor, MD, David Richards, MD, FACEP. Treatment of minor thermal burns. UpToDate. Sep 17, 2015.
  3. Mayer Tenenhaus, MD, FACS, Hans-Oliver Rennekampff, MD. 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
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Symptoms

    Burn


    Burnt skin that looks like leather


    Reddened skin


    Reddened skin region with vesicles, blisters and/or small red spots


    Swollen limb

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.