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Old 12-17-2016, 03:14 PM
Canadjun Canadjun is offline
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Fourth degree burns??

This is most emphatically NOT "need answer fast".

Was watching a medical program on TV and it showed someone that was critically burned in a car explosion. Mention was made of fourth degree burns. I think I have also heard that term in the past.

I thought burns only came in first (redness), second (blistering), and third (deep tissue) burns? Assuming fourth degree burns are meaningful, what is the difference between third and fourth degree burns?
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Old 12-17-2016, 03:16 PM
Velocity Velocity is offline
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IIRC 4th degree destroys tissue, and goes to the bone.
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Old 12-17-2016, 03:28 PM
LSLGuy LSLGuy is offline
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The wiki https://en.wikipedia.org/wiki/Burn is pretty good. No gross pictures either, which surprised me.

At least according to them, 4th degree is into non-skin tissues but not necessarily to the bone. I was surprised to learn that in their explanation, even 3rd degree burns only involve the skin. Albeit they go all the way to the bottom-most layer of skin, which layer is deeper into the body than most non-medical folks probably think.

Last edited by LSLGuy; 12-17-2016 at 03:31 PM.
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Old 12-17-2016, 04:04 PM
buddha_david buddha_david is offline
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There are actually six degrees of burns. Fourth degree means the burn extends through all skin layers and damages the underlying muscle and soft tissues. Fifth degree burns destroy soft tissue and extend to the bones, while sixth degree destroys the bones themselves. You hardly ever hear about the last two degrees because they are virtually 100% fatal.
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Old 12-17-2016, 04:38 PM
Canadjun Canadjun is offline
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Thanks!
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Old 12-17-2016, 10:16 PM
Melbourne Melbourne is offline
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For some reason, not a term I hear used in AUS now. 3rd Degree Burn == Full Thickness Burn for the last 30 years or so. A deep tissue burn would just be called a deep tissue burn.
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Old 12-18-2016, 04:29 AM
ruadh ruadh is offline
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Quote:
Originally Posted by buddha_david View Post
There are actually six degrees of burns. Fourth degree means the burn extends through all skin layers and damages the underlying muscle and soft tissues. Fifth degree burns destroy soft tissue and extend to the bones, while sixth degree destroys the bones themselves. You hardly ever hear about the last two degrees because they are virtually 100% fatal.
Some sites claim there are seven degrees - I'm not sure how the seventh is distinguished from the sixth, but in any case, you're not going to see any such cases except in a morgue. Even fourth degree burns are usually fatal unless they happen to a part of your body that can be amputated.
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Old 12-18-2016, 10:59 AM
Amateur Barbarian Amateur Barbarian is offline
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Why is this information I wish I didn't know?
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Old 12-18-2016, 11:06 AM
Little Nemo Little Nemo is offline
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Quote:
Originally Posted by buddha_david View Post
There are actually six degrees of burns. Fourth degree means the burn extends through all skin layers and damages the underlying muscle and soft tissues. Fifth degree burns destroy soft tissue and extend to the bones, while sixth degree destroys the bones themselves. You hardly ever hear about the last two degrees because they are virtually 100% fatal.
Where does rare, medium, and well done fit in on this scale?
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Old 12-18-2016, 11:40 AM
LSLGuy LSLGuy is offline
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Why is this information I wish I didn't know?
I suppose that if one is ever severely burnt with extensive 3rd degree burns, being able to say "Well, it could've been worse" might be some small comfort. So you've got that going for you.
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Old 12-18-2016, 01:10 PM
GusNSpot GusNSpot is online now
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So, cremation is a 'ten'?

Too soon??
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Old 12-22-2016, 03:22 AM
Melbourne Melbourne is offline
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Why is this information I wish I didn't know?
When I was young, I knew that I didn't want to be a doctor, for two reasons: (1) the burned children (I saw too many burned children), and (2) the hours were /insane/.

I've sinced learned that working with burned children is really rewarding, because they come in looking like /that/, and you cure them. And the hours aren't that bad, because the staff who need your input suck up to you when you are at work.

Plus it didn't matter, because I would never have qualified for med school anyway.
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Old 12-22-2016, 05:18 AM
SigMan SigMan is offline
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Quote:
Originally Posted by buddha_david View Post
There are actually six degrees of burns. Fourth degree means the burn extends through all skin layers and damages the underlying muscle and soft tissues. Fifth degree burns destroy soft tissue and extend to the bones, while sixth degree destroys the bones themselves. You hardly ever hear about the last two degrees because they are virtually 100% fatal.
That is scary.
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Old 12-22-2016, 06:55 AM
Machine Elf Machine Elf is offline
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Fifth degree burns destroy soft tissue and extend to the bones, while sixth degree destroys the bones themselves. You hardly ever hear about the last two degrees because they are virtually 100% fatal.
No doubt. I imagine any heat severe and prolonged enough to burn tissue down to the bone anywhere on the body will also cause massive (typically fatal) damage elsewhere on the body, too.
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Old 12-22-2016, 07:20 AM
Broomstick Broomstick is offline
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I suppose it's possible to have the far end of an extremity like a hand or food suffer a 6th degree burn and have the person survive if the rest of the body is (relatively) unscathed, but I'd think shock would be an issue in the immediate aftermath. It would basically be a traumatic amputation via fire as opposed to crushing or slicing.
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Old 12-22-2016, 08:38 AM
Annie-Xmas Annie-Xmas is online now
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I had a fourth degree burn on my foot. It was much more painful than snapping off my wrist bone.

But the E/R gave me some dynamite pain killers, and it healed quite nicely.
  #17  
Old 12-22-2016, 08:41 AM
Ludovic Ludovic is online now
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Quote:
Originally Posted by Little Nemo View Post
Where does rare, medium, and well done fit in on this scale?
Quote:
Originally Posted by Broomstick View Post
I suppose it's possible to have the far end of an extremity like a hand or food suffer a 6th degree burn and have the person survive
I guess we have our answer?
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Old 12-22-2016, 08:54 AM
buddha_david buddha_david is offline
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Here's a news story about a boy who purportedly survived 5th/6th degree burns. Although I question the accuracy of that diagnosis -- in an earlier article, it says his facial burns were "reduced to 3rd & 4th degree", presumably on appeal?
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Old 12-22-2016, 09:07 AM
Annie-Xmas Annie-Xmas is online now
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If you want to find out more, google "David Rothenberg." WARNING: It's a story of pure, sick evil and so much pain it breaks my heart.
  #20  
Old 12-22-2016, 09:17 AM
Darren Garrison Darren Garrison is offline
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Look at the photo given for an example of 4th degree burns on the Wikipedia examples. It looks to be mislabeled and at least a 5th degree burn, maybe a 6th. (I've never heard of 5th and 6th degree burns before this thread, but I'm going by the descriptions.)
  #21  
Old 12-22-2016, 10:03 AM
Elendil's Heir Elendil's Heir is offline
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When I was a Boy Scout receiving first aid training back in the Seventies, third-degree burns were the most serious. Now there are at least six degrees... and Pluto isn't a planet anymore!

"Progress," my ass.
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