Burn : Classification and Treatment

Burns are classified into 3 types:
1. Superficial burns (1st degree burns) - these are burns which are limited to the epidermis
2 Partial thickness burns (2nd degree burns)- this is subdivided into 2 types
2 a. Superficial partial thickness burns - these involve all of the epidermis and the upper layers of the dermis
2 .b Deep partial thickness burns - these involve the whole of the epidermis and dermis
3. Deep partial thickness burns (3 rd degree burns)- these involve all layers of the skin and subcutaneous fat

Treatment:
1st degree burns can be treated with lotions, honey, aloevera or topical antimicrobial.
2nd degree burns can be treated with either a topical antibiotic or an occlusive dressing.
3rd degree burns generally require a skin graft.

Cleaning  of burn wounds should be done with sterile water. Ice should not be applied to a burn wound as it may cause further damage due to hypoyhermia. Wound healing is expedited in moist environment therefore occlusive dressing is preferred. Silver sulphadiazine is the preferred topical antibiotic.