There are three layers of protection for tendons, muscle, and bones. The first layer of protection is the outer layer of skin, the epidermis. There are many layers of cells (50-150) in the epidermis. It is our main defense against injury and infection. The second layer of protection is the dermis. This layer gives skin elasticity. The final layer of defense is the fatty tissue. There are fat cells, hair follicles, and sweat glands in the fatty tissue layer.
When someone sustains a significant burn, the fluids in the body shift to the burned area. Fluid resuscitation is necessary in cases where the burned area is greater than 20% of the body. Fluid resuscitation is critical during the first 24 hours and is administered by IV.
Second degree burns go through most of the layers of the epidermis, damaging sweat glands and hair follicles and potentially reaching the topmost layer of dermis. Blisters form from the fluid that accumulates between the epidermis and the dermis, increasing the chance of infection. The redness and blistering is accompanied by intense pain because the nerves are damaged, not destroyed.
Because of the chance of infection, second degree burns should be examined by a medical professional. If the second degree burn is ivory or whitish in color, it will require debridement (scrubbing). Debridement exfoliates skin that is not receiving good blood circulation. This facilitates healing and lessens risk of infection. Skin grafts are usually required following debridement.
Once the burn area is thoroughly cleaned, compression garments will be used to minimize scar tissue. Compression garments must be worn for 6 months to 3 years, depending on how the burn is healing.
There can be many long-term complications from a second degree burn, including:
- problems with sweating
- dryness due to oil gland damage
- severe eczema
- premature wrinkles
- mesh scar pattern
On top of the physical problems, many burn victims struggle with psychological and emotional problems. They may suffer from low self-esteem, cold sweats, or nightmares.
A burn injury is a very real, long-term complication. You should not have to bear the financial and emotional burden alone. With aggressive, ethical representation you may be able to obtain compensation for your medical expenses, wage loss, pain and suffering, and any disability. Call TSR Injury Law at 612-362-0000 for more information.
Coup and contrecoup injury can occur even in a relatively minor accident. If the head snaps, front to back or side to side, the brain will slam and recoil against the skull. The majority of head trauma hospitalizations are car accident related and classified as minor injuries; that is, no or only momentary loss of consciousness, no major complications, and no intracranial surgery.