How Serious Is Your Burn?

Published Aug 31, 2013

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Updated Dec 17, 2024

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Est. reading time: 2 minutes

Key points

  • Burn injuries vary in severity from first to fourth degree, with increasing severity requiring professional medical attention.
  • First degree burns affect only the skin's outer layer, causing redness, swelling, and pain, and can be treated at home.
  • Second degree burns affect both skin layers and may require medical attention if larger than three inches or on sensitive body areas.
  • Third and fourth degree burns, affecting deeper tissues and possibly destroying nerve endings, require immediate emergency care.
  • If unsure of the severity of a burn, it is best to seek professional medical care. The World Health Organization offers a helpful guide on how to treat minor burns and assess their severity.
How Serious Is Your Burn?

Burn Statistics

According to the University of Maryland Medical Center, one to two million Americans "seek medical attention for burns each year" and "between 50,000 and 70,000 people are hospitalized for burns." In addition, 30 to 40 percent of persons treated for burns are under the age of 15 years of age. How can you tell if a burn is serious enough to seek medical treatment or if you can treat the burn at home?

First Degree Burns

These burns affect only the outer layer of the skin and symptoms are redness, swelling, and pain. Mild sunburn is considered to be a first degree burn. These burns last between 48 and 72 hours and other symptoms are peeling or dry skin.

To treat first degree burns, apply cool (no ice) compresses and use lotion or ointments recommended for burns. Aloe Vera gel will help with pain. Ibuprofen or acetaminophen can also be taken to alleviate pain.

Second Degree Burns

These burns affect both the outer layer of the skin and the second layer of the skin, also known as the dermis. Symptoms include all the signs of a first degree burn and often blisters will appear. Skin will become very red or splotchy and pain and swelling is usually noticeable.

The Mayo Clinic recommends first gauging the size of the burn. If it is under three inches in diameter, the burn can be treated at home using OTC pain meds and cold compresses. However, the Mayo Clinic warns, if the "burned area is larger (than three inches) or is on the hands, feet, face, groin or buttocks, or over a major joint," immediate medical care should be sought.

To treat second degree burns, run cool water on the wound or apply cool compresses—never use ice. This will help reduce the swelling. Use a gauze bandage and cover the burn. Gauze is better than cotton that may enter the wound. Keep the gauze bandage loose, just enough to keep air away. Give the patient OTC pain relievers for pain.

Second degree burns under three-inches in diameter usually heal in a week to 10 days with possible pigment changes to skin. It's also recommended to use sunscreen on the area once healed for at least a year after the burn.

It's important to note if intense pain isn't relieved with OTC medications, additional swelling or fever, redness or oozing occurs, you should seek immediate urgent care.

Third and Fourth Degree Burns

Third and fourth degree burns require emergency care. These burns involve the outer layer of the skin, the dermis, bones, muscles, and tendons. They can appear charred or leathery.

With third degree burns, pain may not be present if the nerve endings are destroyed. With fourth degree burns, the wound will appear stiff and extend into the subcutaneous fat, muscle and bone.

It is not recommended to treat third or fourth degree burns at home and immediate medical treatment should be sought. Consider these burns life threatening.

The World Health Organization offers a great download on how to treat minor burns and includes diagrams to help assess severity of burns.

A burns could be serious and if you're unsure of the severity, it's best to seek the care of a professional.

FAQs

What are the different degrees of burn injuries?

Burn injuries range from first to fourth degree. First degree burns affect only the skin's outer layer, second degree burns affect both skin layers, and third and fourth degree burns involve deeper tissues and possibly bones.

How can I treat a first degree burn at home?

Apply cool compresses (no ice) and use lotions or ointments recommended for burns. Over-the-counter pain relievers can also be used.

When should I seek medical attention for a burn?

If a second degree burn is larger than three inches or is on sensitive body areas, or if it's a third or fourth degree burn, seek immediate medical attention.

What are the signs of a serious burn that requires medical attention?

Signs include intense pain not relieved by over-the-counter medications, additional swelling or fever, redness or oozing, and appearance of charred or leathery skin.

Can third and fourth degree burns be treated at home?

No, third and fourth degree burns require immediate emergency care as they can be life threatening.

How should a second-degree burn be treated?

Second-degree burns should be treated by running cool water on the wound or applying cool compresses—never use ice. A gauze bandage should be used to cover the burn, and over-the-counter pain relievers can be given for pain.

What should be done in the case of third and fourth-degree burns?

Third and fourth-degree burns require immediate medical attention. They are considered life-threatening and should not be treated at home.

How many Americans seek medical attention for burns each year?

According to the University of Maryland Medical Center, one to two million Americans seek medical attention for burns each year, and between 50,000 and 70,000 people are hospitalized for burns.

Dr. Rob Rohatsch, MD, is a Board-Certified Emergency Medicine physician and urgent care executive. He earned his MD from Jefferson Medical College, currently serves on multiple boards and is Solv’s Chief Medical Officer.

How we reviewed this article

Medically reviewed

View this article’s sources and history, and read more about Solv’s Content Mission Statement, editorial process, and editorial team.

History

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • August 31 2013

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • August 31 2013

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Topics in this article

BurnsEmergency CareFirst AidInjuriesMedicationUrgent Care

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