Burn history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Eman Alademi, M.D.[2]

History and Symptoms

Blisters
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

Symptoms of an airways burn:

Charred mouth; burned lips
Burns on the head, face, or neck
Wheezing
Change in voice
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].
Other signs of upper airway injury include hoarseness and stridor, which increase the work of breathing and may lead to respiratory fatigue with sub- and suprasternal retractions. Signs of lower respiratory tract injury may include any or all of the following: tachypnea, decreased breath sounds, wheezing, rales, rhonchi, or use of accessory respiratory muscles.