BURNS ASTD SCALDS 189 5. Exhaustion from suppurative discharges lasting for weeks or months. 6. Lardaceous disease of the internal organs resulting from suppurative exhaustion. 7. Erysipelas, septicaemia, pyaemia, gangrene and tetanus. Fatal Period.—As already mentioned, death may occur within twenty- four to forty-eight hours, but usually the first week is the most fatal. In suppurative cases death may occur after five or six weeks or even longer. Fig. 63.—Scalds from a fall into a cauldron of boiling ghee (clarified butter). Note the blisters, Nature of Burns in the Absence of Death.—In a case where death has not occurred, burns will constitute simple or grievous hurt as the case may | be. Burns of the first and second degree, if not extensive, are mostly simple. Burns are grievous, if they cause scars causing permanent dis- figuration of the head or face, permanent loss of sight of either eye, or permanent impairment of a member or a joint owing to the formation of a cicatrix and contraction, if a Joint and its neighbouring parts have been severely burnt. Lastly, burns are grievous, if the individual has suffered , from shock so as to endanger life or if he has been in severe bodily pain or bed-ridden, and unable to follow his ordinary pursuits for twenty days (vide Appendix IV, section 320, Indian Penal Code). Sections 324 and 326 of the Indian Penal Code deal with the punisfr- menfe to be awarded for simple and grievous hurt caused voluntarily % means of fire or any heated substance, or by means of any coiro&we , substance, or by means of any explosive substance (vide Appendix W).