The diagnosis of the depth of burning

Assessment of burn depth and burn wound healing potential

“…Not only is the base line level of experience with burn assessment variable but also the extent of tissue damage may not be immediately visually apparent as well [13]. Indeed, bedside clinical evaluation is specifically difficult in the early hours post-burn where the still viable zone of 'stasis' may denature, thereby increasing burn wound depth [5]. Recent literature has suggested that timely intervention may retard the rate and extend of such burn wound conversion [14].…”

“…Jackson [5] was one of the first to link some of the early clinical changes indicative of burn depth progression to the level of microvascular blood flow in the remaining dermis.…”

“…But here again a large number of burns wounds fall into the category that heals between 2 and 3 weeks and for these burns the likelihood of scarring seems to vary considerably [4]. Moreover, determination of burn depth and healing time is further complicated by the dynamic changes that have been observed during the acute post-burn period and can result in the conversion of more superficial to deep burn wound [5].…”

The Management of Combat Wounds: The British Military Experience

“…A debridement classification as described by Granick and Chehade 1 is a useful model based on the Jackson burn wound model. 2 In the center of the wound is an area of dead and dying tissue surrounded by a marginal area of injured but alive tissue. This in turn is surrounded by healthy tissue.…”

Recombinant human granulocyte macrophage colony-stimulating factor (rhGM-CSF) could accelerate burn wound healing in hamster skin

“…Burns are classified according to depth of burn, and may be first-, second-, or third-degree, sometimes known as superficial, partial thickness, or full-thickness, respectively. A deep partial skin thickness burn is an excellent wound model for use in study of the main components of burn wound healing processes (Jackson 1953;Khodadadi et al 2008).…”