Burn treatment

The purpose of burn treatment is to ensure that the burn can heal without any problems while at the same time bringing relief to the patient.

 

The burn must be prevented from drying and becoming colonised with bacteria that could prevent the burn from healing properly. Other important factors include reducing patient discomfort; the pain; and the frequency of bandage changes.

 

Burns are dynamic and can become deeper. In addition, since the diagnostics of the depth of the burn is not precise, burns diagnosed as second degree on initial examination may eventually turn out to be deeper. Time to healing is, in fact, a more effective diagnostic than the initial inspection.

 

Second-degree burns must have healed within two weeks, particularly burns in functional areas (e.g. hands and face) or burns in children. For adults with burns to non-functional areas, treatment may take up to three weeks.

 

Continuing conservative therapy beyond this period would result in protracted and painful burn treatment, the outcome of which would ultimately be worse than if a skin-grafting procedure were to be performed at an early stage of the treatment. The healing of the burn may be retarded due to bacterial colonisation. Changing the local therapy can help fight disruptive bacterial colonisation.

 

If a burn does not heal within the time set, not even after the local treatment has been changed, surgical treatment must be considered.

 

Prognosis

 

 

 

 

 

 

 

 

 

 

1st degree:

body lotion and healing without residue 

 

 

 

 

 

 

 

 

 

2nd degree:

  

 

 

heals in less than 14 days  

→   

yes 

 →

body lotion and healing without residue

 

 

 

 

 

 

 

 →

 no

  →

 change burn regimen

→ 

healing in less than 1wk

 

 → 

body lotion; residual scar 

 

 

 

 

 

 

 

→ 

 no healing after more   than 1wk

  →

 skin grafting

3rd degree:

always combined with   scarring; healing possible only through skin grafting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

View the following tables:

 

Also read the description of the various treatment methods listed in the table: half open method / wound dressing method.

 

 

Paginaopties: