As a common accidental injury, accurate identification of burns and scalded injuries is of great significance to the development of treatment programs and prognosis assessment. Traditional identification methods are subjective and inaccurate, this paper proposes a burns and scalds grade identification technique based on multilayer neural network. The three-degree classification standard of burns and scalds is described, and the structure and principle of multilayer neural network are introduced, including the network structure composed of input layer, hidden layer and output layer, forward propagation, back propagation and training process. The implementation steps of burns and scald grade recognition technology based on multi-layer neural network are discussed in detail, such as data acquisition, image pre-processing, feature extraction, classifier design, model training and evaluation. Through experiments, the model is tested using a dataset containing 362 burns and scalds images, and the model achieves more than 90% accuracy on the test set with high accuracy and reliability. The multi-layer neural network model is used to classify the burn and scald data, which improves the diagnostic accuracy, shortens the delay time of the disease, reduces the pressure of professional doctors, and helps patients have a preliminary understanding of the degree of burn.