Second-Degree Burns

What is a second-degree burn?

Second-degree burns involve the epidermis and part of the dermis layer of skin. The burn site appears red, blistered, and may be swollen and painful.

Anatomy of the skin

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What causes a second-degree burn?

In most cases, second-degree burns are caused by the following:

scald injuries
flames
skin that briefly comes in contact with a hot object

What are the symptoms of a second-degree burn?

The following are the most common signs and symptoms of a second-degree burn. However, each child may experience symptoms differently. Symptoms may include:

blisters
deep redness
burned area may appear wet and shiny
skin that is painful to the touch
burn may be white or discolored in an irregular pattern

The symptoms of a second-degree burn may resemble other conditions or medical problems. Consult your child's physician for a diagnosis.

Treatment for second-degree burns:

Superficial second-degree burns usually heal in about three weeks, as long as the wound is kept clean and protected. Deep second-degree burns may take longer than three weeks to heal. Specific treatment for a second-degree burn will be determined by your child's physician, based on the following:

your child's age, overall health, and medical history
extent of the burn
location of the burn
cause of the burn
your child's tolerance for specific medications, procedures, or therapies
your opinion or preference

A second-degree burn that does not cover more than 10 percent of the skin's surface can usually be treated in an outpatient setting. Treatment depends on the severity of the burn and may include the following:

antibiotic ointments
dressing changes one or two times a day depending on the severity of the burn
daily cleaning of the wound to remove dead skin or ointment
possibly systemic antibiotics

Wound cleaning and dressing changes may be painful. In these cases, an analgesic (pain reliever) may need to be given. In addition, any blisters that have formed should not be burst.

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