Classification of Burns
What are the classifications of burns?
Burns are classified by degree depending on how deeply and severely they penetrate
the skin's surface: first, second, third, or fourth. It may be impossible to classify
a burn immediately when it occurs. It can progress over time so you may not know the
full extent for a day or two.
First-degree (superficial) burns. First-degree burns affect only the outer layer of skin, the epidermis. The burn site
is red, painful, dry, and has no blisters. Mild sunburn is an example. Long-term tissue
damage is rare and often consists of an increase or decrease in the skin color.
Second-degree (partial thickness) burns. Second-degree burns involve the epidermis and part of the lower layer of skin, the
dermis. The burn site looks red, blistered, and may be swollen and painful.
Third-degree (full thickness) burns. Third-degree burns destroy the epidermis and dermis. They may go into the innermost
layer of skin, the subcutaneous tissue. The burn site may look white or blackened
Fourth-degree burns. Fourth-degree burns go through both layers of the skin and underlying tissue as well
as deeper tissue, possibly involving muscle and bone. There is no feeling in the area
since the nerve endings are destroyed.