> For the complete documentation index, see [llms.txt](https://lmrp.gitbook.io/last-mile-rp/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://lmrp.gitbook.io/last-mile-rp/emergency-services-info/lmrp-medical-guide/burns.md).

# Burns

{% hint style="info" %} <mark style="color:yellow;">**Different degrees of burns:**</mark>

* 1st Degree: Least severe, superficial, equivalent to sunburn
* 2nd Degree: Moderate to severe pain, red small blisters
* 3rd Degree: Major, deep into muscle/fat, general loss of feeling at center of burn
  {% endhint %}

{% hint style="danger" %}
**Symptoms:**

* 1st Degree: red irritated skin, warm and tender to the touch, minor pain, minor swelling, skin may feel dry and tight.
* 2nd Degree: intensely red and swollen, large painful blisters, wetness from leaking blisters, sever pain, sensitive, may be discolored, and may have other symptoms like nausea, vomiting, fever and chills.
* 3rd Degree: leathery skin, dry skin, skin discoloration of white - black - bright red, swelling, blisters, shiny moist skin, may have little to no pain due to nerve endings being destroyed, difficulty breathing, unconscious from shock, and shock.

Heart Rate: may be elevated or lowered due to trauma

Respiratory Distress: shallow breathing, hyper-ventilation, short breaths

Diaphoretic: Pale, sweating heavily

Altered state of consciousness&#x20;
{% endhint %}

{% hint style="info" %}
**What happens on scene:**

* Vitals check
* IVs
* Cleaning with saline
* Add burn creams
* Loosely wrapping with saline soaked gauze
* Clothing removal
  {% endhint %}


---

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