A burn is damage to your skin most often caused by fire/flame or steam and hot liquids. Burns can also be caused by chemicals, heated objects, or even electricity. They range from minor to severe, and while serious burns can be life-threatening, any burn that causes a break in the skin can result in an infection, which can lead to sepsis.

Sometimes incorrectly called blood poisoning, sepsis is the body’s often deadly response to infection. Sepsis kills and disables millions and requires early suspicion and treatment for survival.

Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza, or urinary tract infections. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, organ dysfunction (organs don’t work properly) and/or amputations.

Types of burns

Burns are categorized according to their severity:

First degree burns: These are the types of burns that most people experience at some time. They are minor burns that affect just the outer later of skin, called the epidermis. They can be painful, causing redness to the skin and some swelling. Mild sunburns are a common type of first degree burn.

Second degree burns: These burns are deeper than first degree burns, affecting the epidermis and the second layer of the skin, called the dermis. If the burn is small, less than two to three inches wide, it is considered minor, but larger second degree burns are treated as major burns. Second degree burns are also considered to be major if they are on the face, hands, feet, a major joint, groin/genitals, or buttocks.

Second degree burns are usually painful and cause redness and swelling. They may cause blistering and breaks in the skin, so the increase your risk of developing an infection. Sunburns that blister and are very painful are considered to be second degree burns.

Third-degree burns: These are serious burns, even if they are small. They can be life-threatening. These burns go through the layers of the skin to the fat below. There may be no pain in the area, because the nerves may be destroyed, although there will likely be pain around the area, where the burns are not as deep.

People with third degree burns are at particular risk for dehydration, infection, and sepsis.

Burns on your face

Burns on your face, regardless of the severity, may also cause internal burns in your airway, which can be life threatening. Facial burns can happen as part of a larger burn, but your face can get burned if you are too close to the flame when you light a barbecue or pilot light, or even if you suddenly release steam from a pot, for example. If you have burns in your airway, you may experience:

  • Burns on your lips and mouth
  • Coughing
  • Difficulty breathing
  • Changes in your voice
  • Wheezing

Treating burns

Major burns must be treated as medical emergencies. Seek emergency help or call 9-1-1 if you have a third-degree burn or a second-degree burn that covers more than two to three inches in width, or is on your face, hands, feet, a major joint, your groin or genitals, or buttocks.

Do not:

  • Soak the burn in water
  • Put ice on the burn
  • Apply any ointments or creams to the burn
  • Remove any clothing or fabric that is stuck to the burn

If the burn is caused by a chemical, rinse the area with clean running or poured water to try to flush the chemical away. By running or pouring water over the burn, the chemical may be pushed off and away from the skin. If possible, loosely cover the burn with a clean or sterile cloth or bandage.

Treatment for severe burns may include:

  • Intravenous (IV) fluids to keep you hydrated
  • Medications, particularly for pain
  • Burn creams and ointments, and special burn dressings
  • Antibiotics to treat infections

Care for less serious burns

First degree and smaller second degree burns are usually managed well at home. First aid may include soaking the burned area in cool (not cold) water for a few minutes to stop the burning process, and then drying gently. Pat to dry, do not rub. Creams, such as aloe vera or burn ointments may help relieve some of the pain or discomfort. Keep the burns clean and loosely covered, and monitor for breaks in the skin and signs of infection. Do not break any blisters that may form.

If you show any of the following signs of infection, contact your doctor or go to an urgent care clinic, so your burn can be evaluated and treated:

  • Pus or discharge from the burn site
  • Increase in pain
  • Change of color around the burned area
  • Fever

If you suspect sepsis, call 9-1-1 or go to a hospital and tell your medical professional, “I AM CONCERNED ABOUT SEPSIS.” 

Would you like to share your story about sepsis or read about others who have had sepsis? Please visit Faces of Sepsis, where you will find hundreds of stories from survivors and tributes to those who died from sepsis.

 

Updated December 13, 2017