Which of the following is most appropriate about grade 4 burns-
Ans. is 'b' i.e., Involves the whole skin along with muscle tissue Classification of burns o Burn depth is an important topic and repeatedly asked. # Bums are classified according to increasing depth in 2 ways 1. Into degrees i.e. 1st degree to IVth degree bum 2. Into a less precise classification i.e. Shallow & Deep bums. # Relationship among these two classifications 1st degree } - - Superficial Shallow bums IInd degree - Deep } IIIrd degree Deep bums IVth degree Depth of Burn Colour & Appearance Skin Texture Capillary Refill Pinprick Sensation Healing First degree Superficial epidermis Red Normal Yes Yes 5-10 days. No scar Shallow Burn Second degree Superficial partial thickness Red may be blistered Edematous Dry to very small blisters Yes Yes 7-14 days. No. or minimal scar Deep partial Thickness Pink to White bullae or moist Thick Possibly Possibly 25-60 days, dense scar Deep Third degree Full thickness White black or brown Leathery Dry & Inelastic No No No spontaneous healing Burn Fourth degree Involves underlying subcutaneous tissue tendon or bone Variable Variable No No No spontaneous healing
Involves all layers of the skin
Involves the whole skin along with muscle tissue
Involves the epidermis partially
Involves the dermis partially