Burn history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eman Alademi, M.D.[2]

Although each patient experiences burn injury in a unique way, there are many common symptoms. The symptoms of burn we can divided it in to two types, skin and airways symptoms.

Skin symptoms:

• Blister
• Pain (the degree of pain is not related to the severity of the burn — the most serious burns can be painless)
• Peeling skin
• Red skin
• Shock (watch for pale and clammy skin, weakness, bluish lips and fingernails, and a drop in alertness)
• Swelling
• White or charred skin

Airways symptoms:

• Charred mouth; burned lips
• Burns on the head, face, or neck
• Wheezing
• Change in voice( hoarseness and stridor) which is signs of upper airway injury.
• Respiratory fatigue
• Difficulty breathing; coughing
• Singed nose hairs or eyebrows
• Singed nasal vibrissae
• Dark, carbon-stained mucus
• Soot in the oropharynx, nasal passages, proximal airways, and carbonaceous sputum^[1][2][3][4].
• tachypnea, decreased breath sounds, wheezing, rales, rhonchi, or use of accessory respiratory muscles, which is Signs of lower respiratory tract injury.

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