A sixth-degree burn is the most severe burn injury, destroying all skin layers, fat, muscle, and tendons, and completely charring bone. These catastrophic burns often result from fires, explosions, or extreme electrical accidents. Survival is nearly impossible if vital organs are affected, but in rare cases, burns confined to limbs may be treated with amputation.

Sixth-degree burns are the most severe type of burn, destroying all layers of skin, muscle, and bone.
These catastrophic injuries usually result from prolonged exposure to extreme heat or flames and are almost always fatal. Survival is rare and typically requires immediate amputation of the affected area.
Unlike more common first, second, and third-degree burns, sixth-degree burns cause complete tissue destruction with no pain due to nerve damage. Understanding these burns is crucial for families facing tragic accidents and for pursuing compensation with a burn injury attorney.
This article explains what sixth-degree burns are, their causes, symptoms, and legal options for victims and their families.

What Is a Sixth-Degree Burn?
A sixth-degree burn is the most severe type of burn injury that destroys all layers of skin, fat, muscle, and burns down to the bone itself. This means the damage goes deeper than any other burn classification and typically results in death.
These burns are so severe that doctors usually only identify them during an autopsy rather than treating living patients. The bone becomes charred and blackened, making the injury almost always fatal unless it affects only a small area that can be immediately amputated.
You won’t feel pain from a sixth-degree burn because all the nerve endings are completely destroyed. The area looks charred black with visible bone showing through the destroyed tissue.

Burn Degrees: How Are Burns Classified by Degree?
Doctors classify burns by how deep they go into your body’s tissues. This system helps them understand how serious the injury is and what treatment you need.
The burn degree system works like layers of an onion – each degree goes deeper into your body. Most people know about first, second, and third-degree burns, but more severe classifications exist for deeper injuries.
Here’s how the basic burn degrees work:
- First-degree burns: Only damage the top layer of skin (epidermis)
- Second-degree burns: Go through the top layer and into the second layer (dermis)
- Third-degree burns: Destroy both skin layers completely
A first-degree burn feels like a bad sunburn with red, painful skin. Second-degree burns create blisters and cause intense pain. Third-degree burns look white, brown, or black and don’t hurt because the nerves are destroyed.
First-degree Burns
First-degree burns affect only the outermost layer of skin, known as the epidermis. They cause redness, minor swelling, and pain, similar to a typical sunburn. These burns usually heal within a week without scarring. Common causes include brief exposure to hot objects, sun exposure, or minor scalds. Treatment typically involves cooling the area and applying soothing lotions.
Second-degree Burns
Second-degree burns extend beyond the epidermis into the dermis, the second layer of skin. They cause redness, blistering, swelling, and intense pain due to nerve involvement. These burns may result from scalding liquids, flames, or chemical exposure. Healing can take several weeks and may leave scars or skin discoloration. Medical attention is often necessary to prevent infection and promote proper recovery.
Third-degree Burns
Third-degree burns destroy both the epidermis and dermis, reaching into the underlying fat and subcutaneous tissue. The skin may appear white, brown, or charred and feels leathery or stiff. Nerve endings are destroyed, so the burn site may be painless. These full thickness burns require immediate medical treatment, often involving skin grafts, to prevent complications and aid healing.
Fourth, Fifth, and Sixth-Degree Burns
Beyond third-degree burns, the damage goes into tissues below your skin. These deeper burns are considered catastrophic injuries, often resulting in death or requiring amputation. Burn injury victims and their families can turn to experienced burn injury attorneys for assistance in seeking compensation and holding liable parties accountable.
Fourth-degree burns go through your skin and into the fat layer underneath. You might see yellow fat tissue exposed in the wound.
Fifth-degree burns destroy everything down to your muscle tissue. The muscle becomes visible and damaged, often appearing red or brown.
Sixth-degree burns are the deepest possible – they burn through skin, fat, muscle, and char the bone itself. The bone looks black and burned, and surrounding tissue is completely destroyed.
Each deeper degree means more tissue destruction and a worse chance of survival. Most people cannot survive burns that go deeper than the skin layers.
What Are the Symptoms and Characteristics of a Sixth-Degree Burn?
A sixth-degree burn creates a distinctive appearance that’s unmistakable. The area looks completely black and charred, with bone visible through the destroyed tissue.
You can identify a sixth-degree burn by these characteristics:
- Complete tissue destruction: All skin, fat, and muscle are burned away
- Visible bone: The bone shows through the wound and appears charred or blackened
- No pain: Nerve endings are completely destroyed, so there’s no feeling
- Dry, leathery texture: The area feels hard and dried out, not wet or bleeding
- Surrounding damage: Areas around the sixth-degree burn often show third, fourth, or fifth-degree burns
The burn site won’t bleed because all the blood vessels are destroyed. Instead, you’ll see a dry, blackened area that looks more like charcoal than human tissue.
Your body goes into shock immediately when this much tissue is destroyed. This shock response is often what causes death, not the burn itself.
What Causes Sixth-Degree Burns?
Sixth-degree burns only happen when you’re exposed to extreme heat for a long time or incredibly high temperatures. These conditions are rare and usually occur during catastrophic accidents.
The most common causes include:
- House fires where someone gets trapped and can’t escape
- Car accidents with explosions and prolonged fire exposure, representing some of the most devastating common car accident injuries
- Industrial accidents involving molten metal or extreme heat sources
- High-voltage electrical accidents that cook tissue from inside
- Chemical burns from highly corrosive industrial substances
You need both intense heat and time for a burn to reach the bone. A brief contact with high heat might cause a third-degree burn, but sixth-degree burns require sustained exposure that destroys layer after layer of tissue.
Most sixth-degree burns happen when people can’t escape from the heat source. This might be because they’re unconscious, trapped, or the accident happens too quickly to get away.
Can You Survive a Sixth-Degree Burn?
Surviving a sixth-degree burn is almost impossible. These injuries are nearly always fatal because of the massive damage they cause to your body.
Your body can’t handle this level of tissue destruction for several reasons:
- Shock: Losing this much tissue sends your body into shock, which can shut down your organs
- Infection: With no skin to protect you, deadly bacteria enter your bloodstream
- Organ failure: Toxins from burned tissue poison your other organs
- Blood loss: Damaged blood vessels can cause fatal bleeding
The only documented cases of sixth-degree burn survival involved burns limited to a single arm or leg. In these rare situations, doctors immediately amputated the burned limb to save the person’s life.
Even with amputation, survival requires intensive medical care and often results in complications that can still be fatal, particularly when medical errors occur that require consultation with a Las Vegas medical malpractice lawyer.
If someone survives the initial injury, they face months or years of medical treatment, multiple surgeries, and permanent disability, including paralysis cases that require representation by a Las Vegas paralysis lawyer.
Legal Rights for Sixth-Degree Burn Victims in Nevada
When someone suffers a sixth-degree burn because of another person’s negligence, you have legal rights in Nevada. These catastrophic injuries often result from preventable accidents caused by someone’s careless actions.
You might have a legal case if the burn resulted from:
- Property owner negligence: Faulty wiring, missing smoke detectors, or blocked fire exits
- Workplace safety violations: Employers who ignore safety rules or fail to provide protection
- Defective products: Appliances, vehicles, or equipment that catch fire unexpectedly
- Vehicle accidents: Reckless drivers who cause crashes leading to vehicle fires, particularly those involving commercial vehicles and common truck accident injuries
At Ladah Injury & Car Accident Lawyers Las Vegas, we understand how devastating these injuries are for families. Our team is experienced in handling complex cases and knows how to fight insurance companies that try to minimize payouts.
The Nevada law gives you a limited time to file a lawsuit after a burn injury or wrongful death. You need to act quickly to preserve evidence and protect your rights.
Our attorneys work on a contingency fee basis, which means you don’t pay us unless we win your case. We offer free consultations to help you understand your options and will handle all the legal work while you focus on your family.
Attorney Ramzy Ladah is one of Nevada’s few certified personal injury specialists and leads our team with the experience needed for complex burn injury cases. We provide 24/7 support and conduct thorough investigations to build the strongest possible case for you.
Get a Free Consultation with Burn Injury Lawyer in Las Vegas
If you or a loved one has suffered a sixth-degree or severe burn injury due to someone else’s negligence, you need expert legal support.
At Ladah Injury & Car Accident Lawyers Las Vegas, we specialize in complex burn cases and fight to secure maximum compensation for victims and their families.
Our experienced burn injury attorneys handles investigations and negotiations, allowing you to focus on recovery.
Contact us 24/7 for a free consultation and let us advocate for your rights and justice. We help burn injury victims in Las Vegas, Spring Valley, and North Las Vegas.

Frequently Asked Questions
Can Anyone Survive a Sixth-Degree Burn to the Torso?
No, sixth-degree burns to the torso or core body areas are always fatal because they destroy vital organs and major blood vessels that cannot be amputated.
How Long Does It Take to Get a Sixth-Degree Burn?
The time it takes to develop a sixth-degree burn depends on both the temperature and the duration of exposure to extreme heat.
Do Sixth-Degree Burns Hurt More Than Other Burns?
Sixth-degree burns actually don’t hurt at all because they destroy all nerve endings, while second-degree burns are typically the most painful because nerves remain intact but damaged.
What’s the Difference Between Fifth and Sixth-Degree Burns?
Fifth-degree burns damage muscle tissue but leave bone intact, while sixth-degree burns char and destroy the bone itself, making them the deepest possible burn injury.
Final Thoughts
Sixth-degree burns represent the most severe and devastating type of burn injury, destroying all layers of skin, muscle, and bone.
These injuries are almost always fatal and require immediate emergency treatment, often involving amputation. Survivors face lifelong challenges, including extensive rehabilitation and permanent disabilities. Understanding the severity and legal implications of sixth-degree burns is crucial for victims and their families seeking justice.
Prompt medical care and legal support can make a significant difference in outcomes for burn patients and their loved ones.
