[For Further Clarification]
I. Factors determining the severity of burns
There are two factors that determine whether the burn is severe or not. They are its "extent" and "depth."
(1) "Depth"
(2) "Extent"
1]"Nine rules" are used to estimate the area of burns:
head 9%; upper limbs (left upper limb) 9%, (right upper limb) 9%; trunk (anterior) 18%, (posterior) 18%; lower limbs (left lower limb) 18%, (right lower limb) 18%; genital region 1%
2]Palm method
This is often used for a narrow range of burns since the area of palm corresponds to 1% of body surface area.
II. Treatment of burns (see Application Volume (2) 63P *92P)
After cooling the area sufficiently, apply Sofratulle gauze, or sterile gauze with an ample amount of a less stimulating ointment, preferably containing a steroid, to the affected region for protection of the area of burn. The blisters and peeled skin from the burn should not be broken or removed and should be left alone. An antibiotic should be given to prevent infection. After burns, extravasation of water from the blood decreases circulating blood volume and blood pressure, which causes shock symptoms. If the area of burn is vast, have the patient assume a "shock position." If the patient is clearly conscious and not vomiting, and it will take a longtime to arrive at a medical facility, give a small quantity of liquid (Pocari Sweat, Solita-T Granules N0.3, or other sports drink) frequently.
