Recognising Burn Depths Epidermal Burn • • • Superficial Dermal Burn Deep Dermal Burn • • • • • Blisters present or denuded Pink, brisk capillary refill Should heal within 7-14 days with minimal dressing requirements Skin intact, red, brisk capillary refill Erythema not included in % TBSA assessment Heal spontaneously within 3-7 days with moisturiser or protective dressing Mid Dermal Burn • • • Heterogeneous, variable depths Dark pink, sluggish capillary refill Should heal within 14 -21 days Deeper areas or over a joint may need surgical intervention and referral Full Thickness Burn Heterogeneous, variable depths Blotchy red/white Sluggish to absent capillary refill Surgical intervention Refer to specialist unit • • • • • Outer skin, and some underlying tissue dead White, brown, red, black No capillary refill Surgical intervention and long-term scar management required Refer to specialist unit For transfer criteria to a Severe Burn Unit and further information see NSW Burn Transfer Guidelines http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0004/162634/Burns_Transfer_Guidelines_2013-14_-_web.pdf Contacts for NSW Burn Units: CHW 9845 1114 [email protected] RNSH 9463 2111 [email protected] CRGH 9767 7776 [email protected] ACI Statewide Burn Injury Service Website http://www.aci.health.nsw.gov.au/networks/burn-injury
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