Tuesday, February 28, 2012

BURNS 15




Local treatment 2

* Indications for immediate removal of dressings may be:
Signs of excessive pressure
Soaking of the dressing due to discharge
Unexplained pain or fever
Slipped dressings
* Otherwise the dressing can be left on for several days
* Infection is dealt in the usual manner,by antibiotics, saline
or eusol dressings.
The areas of known full thickness burns
which should be obvious by now are desloughed by taking the
patient to the theatre and under anaesthesia removing the
eshcar with a knife in the second or third week.
* Cover with split thickness graft is undertaken, when the
sloughed areas cleared shows a healthy granulation

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