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Types of Burns and Their Severity Burns are categorized based on how deeply they affect the skin and underlying tissues: First-degree burns Affect only the outer skin layer (epidermis) Symptoms include redness, mild swelling, and pain No blistering (commonly seen with mild sunburns) Second-degree burns Extend into the dermis (second layer of skin) Often cause blisters, swelling, and significant discomfort Can be superficial or deep depending on tissue damage Third-degree burns Destroy all layers of the skin May appear white, charred, or leathery Nerve damage can reduce or eliminate pain sensation Fourth-degree burns Extend beyond the skin into muscle and bone Require emergency medical treatment Some burns may include a combination of depths, which makes individualized burn wound care especially important