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Plastic SurgeryDiagnostic

Burn Depth Assessment Algorithm

Burn Depth Assessment Algorithm: Burn Injury Assessment → Wound Appearance → Superficial (1st Degree) → Conservative Care.

Interactive Decision Tree

Mini Map

Algorithm Steps

  1. Start

    Burn Injury Assessment

    1. Decision

      Wound Appearance

      1. Action

        Superficial (1st Degree)

        Erythema, dry, painful, no blisters

        • Sunburn-like
        • Blanches with pressure
        • Heals 3-5 days
        1. End

          Conservative Care

          Moisturizer, analgesia, no dressing needed

      2. Action

        Superficial Partial (2nd Degree)

        Blisters, moist, very painful

        • Pink/red wound bed
        • Brisk capillary refill
        • Heals 7-21 days
        1. End

          Wound Care

          Debride blisters, antimicrobial dressing

      3. Action

        Deep Partial (2nd Degree)

        Pale, decreased sensation

        • Sluggish capillary refill
        • May need excision/grafting
        • Heals 21-35+ days with scarring
      4. Action

        Full Thickness (3rd Degree)

        Waxy, leathery, no sensation

        • No blanching
        • Thrombosed vessels
        • Requires excision and grafting
        1. End

          Surgical Evaluation

          Burn center referral, likely excision/grafting

Guideline Source

ABA Guidelines for Burn Wound Assessment

Clinical Safety Information

Clinical Decision Support — Not a Substitute for Clinical Judgment

Individual patient factors may require deviation from these recommendations.

Known Limitations

  • Depth may evolve over 48-72 hours
  • Difficult to assess in dark skin tones
  • LDI may aid indeterminate cases
  • Chemical and electrical burns behave differently

Applicable Regions

USAUUKEU

AU: ANZBA guidelines

UK: Similar NICE guidance

US: ABA classification

Version 1Next review: 2028-01-01

Frequently Asked Questions

What is the Burn Depth Assessment Algorithm?

The Burn Depth Assessment Algorithm is a diagnostic clinical algorithm for Plastic Surgery. It provides a structured decision tree to guide clinical decision-making, based on ABA Guidelines for Burn Wound Assessment.

What guideline is the Burn Depth Assessment Algorithm based on?

This algorithm is based on ABA Guidelines for Burn Wound Assessment (DOI: 10.1016/j.burns.2016.03.001).

What are the limitations of the Burn Depth Assessment Algorithm?

Known limitations include: Depth may evolve over 48-72 hours; Difficult to assess in dark skin tones; LDI may aid indeterminate cases; Chemical and electrical burns behave differently. Individual patient factors may require deviation from these recommendations.

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