MANAGEMENT 4
2.3.3 LOCAL TREATMENT
* Light anaesthetic may be required for the the procedure in the
operation theater.
Under strict aseptic conditions the burns are cleaned with 1% cetrimide,loose tags removed and blisters punctured.
* The burns are now dressed with tulle gauze covering the entire
area
* If cotton wool is available in abundance, it is used in long
pads. These are placed in the long axis of the limb and extra
pads are reinforced in front and behind joints
* The limb is now encircled in crepe or ordinary bandage with
considerable cross garter using adhesive Elastoplast to
prevent slipping of the dressing.
* Hands are kept in position of maximum function,lightly elevated
to prevent swelling
* Exposure method is an equally good technique of treatment, if
the ward is dust proof.
* Flies can be kept away by using a mosquito net.
* This method may be useful in our country where hyper pyrexia is
a problem particularly during the summer.
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