Second-degree burns involve the epidermal and as well the dermal layers of the skin (Berkow, Beers and Fletcher, 1997, 1336-1338; Second-Degree, 2003). The burn will introduce deep redness, and there may be blistering of the skin. The burned-over area may be wet and shiny, and may erupt white or discolored in an irregular pattern. It may also be swollen, and will be painful. Second-degree burns can be caused by scalding injuries, burns by open flames, and by the s
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Superficial second-degree burns usually heal in about three weeks if the wound is kept clean and protected (Berkow, Beers and Fletcher, 1997, 1336-1338; Second-degree, 2003). Deep second-degree burns may scoop out longer to heal. A new layer of epidermis can grow in from the the edges of the burned area and from remnants of epidermis in the burned area. Healing may be slow, and scarring considerable. The burned area tends to contract, which distorts the skin and interferes with its normal functions. Treatment will depend on the extent, location, and cause of the burn, as well as the person's age and somatogenic condition. If the burn covers less than 10 percent of the body's surface, it can be treated on an outpatient basis. Treatment involves the use of antibiotic creams to keep back infection, dressing changes once or twice a day, daily wound cleaning to remove dead skin and old ointment, and systemic antibiotics in some cases. Since these types of burns are painful, analgesics may be needed during dressing changes.
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