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Grade I Grade II Grade III Grade IV Grade V

Grade I Grade II Grade III Grade IV Grade V

Grade Description Image CT
I
  • Contusion: Microscopic or gross hematuria. Urological studies normal.
  • Hematoma: Subcapsular, non-expanding without parenchymal laceration.
II
  • Hematoma: Non-expanding peri-renal hematoma confined to renal retroperitoneum.
  • Laceration: <1.0 cm parenchymal depth of renal cortex without urinary extravasation.
III
  • Laceration: >1.0 cm parenchymal depth of renal cortex without collecting system rupture or urinary extravasation.
IV
  • Laceration: Parenchymal laceration extending through renal cortex, medulla, and collecting system.
  • Vascular: Main renal artery or vein injury with contained hemorrhage.
V
  • Laceration: Completely shattered kidney.
  • Vascular: Avulsion of renal hilum that devascularises kidney.




Grade Type Description
I Contusion Microscopic or gross hematuria. Urological studies normal.
I Hematoma Subcapsular, non-expanding without parenchymal laceration.
II Hematoma Non-expanding peri-renal hematoma confined to renal retroperitoneum.
II Laceration <1.0 cm parenchymal depth of renal cortex without urinary extravasation.
III Laceration >1.0 cm parenchymal depth of renal cortex without collecting system rupture or urinary extravasation.
IV Laceration Parenchymal laceration extending through renal cortex, medulla, and collecting system.
IV Vascular Main renal artery or vein injury with contained hemorrhage.
V Laceration Completely shattered kidney.
V Vascular Avulsion of renal hilum that devascularises kidney.


Burn Thickness Chart[1]

Thickness Deepest Skin Structure Involved Pain & Sensation Appearance Expected Course Image
Superficial (first-degree)
  • Epidermis
  • Painful
  • Dry, erythema (no blisters)
  • Blanching (intact cap refill)
  • Heals without scarring, 5-10 days

Sunburn.jpg

Superficial Partial (second-degree)
  • Superficial dermis (papillary region)
  • Painful
  • Wet, pale pink, blisters
  • Blanching (intact cap refill)
  • Heals without scarring, <3 weeks

Hand2ndburn.jpg Scaldburn.jpg

Deep Partial (second-degree)
  • Deep dermis (reticular region)
  • Decreased sensation
  • Pale white-yellow, blisters
  • Does not blanch (absent cap refill)
  • Heals in 3-8 weeks
  • Likely to scar if healing >3 weeks
  • May require skin-graft if does not heal within 3 weeks

Major-2nd-degree-burn.jpg

Full (third-degree)
  • Hypodermis (subcutaneous tissue)
  • Decreased sensation
  • White, leathery
  • Does not blanch (absent cap refill)
  • Heals by contracture, >8 weeks
  • Almost always requires skin grafting

8-day-old-3rd-degree-burn.jpg

Fourth-degree
  • Underlying fat, muscle and bone
  • Decreased sensation
  • Black; charred with eschar
  • Does not blanch (absent cap refill)
  • Does not heal
  • Frequently requires amputation

Ожог кисть.jpg



  1. Haines E, et al. Optimizing emergency management to reduce morbidity and mortality in pediatric burn patients. Pediatric Emergency Medicine Practice. 12(5):1-23. EB Medicine.