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Superficial or first degree burn signs and symptoms Involves only the epidermis skin layer May be painful, red and warm, area turns white when touched, no blisters, moist Partial thickness or second degree burn signs and symptoms Involves the epidermis and some portion of the dermis Depending on the how much of the dermis is affected the burn is further broken down into superficial or deep Superficial partial thickness burns are usually painful, red, moist, with blisters, hair still intact Deep partial thickness burns may or may not be painful (nerve endings destroyed), may be moist or dry (sweat glands destroyed), hair is usually gone Full thickness or third degree burn signs and symptoms Most severe burn and involves all layers of skin epidermis and dermis Nerve endings, small blood vessels, hair follicles, sweat glands are all destroyed Subcutaneous fat tissue, muscle and bone may also be involved in very severe burns Burns are painless with no sensation to touch, skin is pearly white or charred, dry and may appear leathery What is the management of a thermal burn