 |
TREATMENT CONTINUED . . .
|
White area is the
deeper burn
|
TREATMENT
1) Admit because of area involved (hand)
2) Use topical antibiotics
3) Closed dressing which allows function
4) Meets Transfer criteria |
MIXED
DEEP DERMAL AND FULL THICKNESS
(Waxy white in middle is full thickness)
|
Full
thickness burn in middle surrounded by deep and
mid-dermal burn
|
TREATMENT
1) Clean. Apply topical antibiotic
2) Clean dry dressing applied
3) Plan early excision and grafting
|
THIRD
DEGREE FLAME BURN (WAXY WHITE AREAS)
SURROUNDED BY DEEP SECOND DEGREE BURN
|
Note: the appearance of the white patches of third
degree burn are very similar to the unburned patches
on buttocks and behind knees (can underestimate
burn).
|
TREATMENT
1) Refer burn center due to size and depth
2) Wrap in clean dry closed dressing
3) If circumferential, consider escharotomy prior to
transfer.
4) Debridement best done at burn facility
5) Early excision and grafting
|
THIRD
DEGREE (FULL THICKNESS) BURN FROM PROLONGED
CONTACT WITH MOTORCYCLE TAIL PIPE
|
|
TREATMENT
1) Remove clothing
2) Admission is preferred but can be treated briefly
(24 hrs) as an outpatient prior to surgery
3) SSD used after initial washing
4) Early surgery for best cosmetic and functional
result and also to minimize disability time
|
VISUALLY
DECEIVING BURN
Some burns usually caused by contact with flames or extremely
hot temperature, like explosion,
have the destroyed epidermis still present on the wound. The
depth can be underestimated
unless the wound is gently washed and debrided after which the
size and depth is
more clearly defined.
|
|
FLAME
BURN (DIRECT CONTACT)
Looks superficial with blisters but mechanism
suggests deep burn |
| When
gently cleaned, wound is noted to be a combination
of deep second and third degree burn |
|
|
| TREATMENT:
1) Gentle wash, removing loose epidermis
2) SSD, preferably twice daily, under closed
dressing
3) Excision and grafting will be needed for deep
burn
|
|
