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Superficial Dermal, Mid-Dermal and Deep-Dermal Burns (Second /Third Degree)

Superficial Dermal burns affect the epidermis and part of the second layer of skin (dermis). The development of blisters is the hallmark of a dermal burn. The burn area may appear very red or, if blisters burst, wet and shiny. The area may also be swollen and very painful.  

Treatment may include antibiotic ointment and frequent dressing and cleaning of the wound. If burns cover more than 10% of an adult body and 5% of a childs, hospitalisation may be necessary and systemic antibiotics may be required.

Mid-Dermal and Deep-Dermal (full thickness) burns affect the epidermis and the dermis and may sometimes also damage underlying tissues such as muscles and bones (Fourth Degree). The skin may appear dry and may be charred black or white. There will be no sensation of pain in the area because the nerve endings have been destroyed. These burns will not heal on their own and treatment may include:
  • Wound cleaning and debriding (removal of dead tissue)
  • Antibiotic ointment
  • Intravenous (IV) or oral antibiotics
  • Intravenous fluids
  • Pain medication
  • Skin grafting (a piece of undamaged skin is surgically removed to cover the burned area)
  • Reconstructive Plastic Surgery

Location Information

Contact Details

Phone National Burn Centre: 09 276 0044 ext 8214 or 8664

Street Address

Middlemore Hospital
Hospital Road
Otahuhu
Auckland

Postal Address

Private Bag 93311
Otahuhu
Auckland 1640
New Zealand

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