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2nd Degree burns >20%TBSA and 3rd or 4th degree.

Burns to the face, hands, feet, genitalia, perineum or major joints.

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Final answer:

Second-degree burns that cover more than 20% TBSA and third or fourth-degree burns to specific areas such as the face, hands, feet, genitalia, perineum, or major joints are considered severe burns and require medical attention.

Step-by-step explanation:

Second-degree burns that cover more than 20% of the total body surface area (TBSA) and third or fourth-degree burns to specific areas such as the face, hands, feet, genitalia, perineum, or major joints are considered severe burns.

Second-degree burns affect both the epidermis and a portion of the dermis, result in swelling and blistering, and take several weeks to heal. Third-degree burns fully extend into the epidermis and dermis, destroy the tissue, and affect nerve endings and sensory function. Fourth-degree burns are even more severe, affecting muscle and bone.

Burns of this severity require medical attention and specialized treatment to promote healing and prevent infections.

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