Burn Depth
The depth of
the burn significantly affects all subsequent clinical event. Traditionally,
burns have been classified as first-, second- and third-degree, but
the current emphasis on burn healing has led to classification as
partial-thickness burns and full-thickness burns. The deeper the burn,
the more severe it is.( Click the right figures
to view larger versions)
The
Objectives of Burn Management
Prevent mortality
Preserve function
Optimize cosmesis
The Difficulties of Burn Management
Pains
Progressive necrosis
Infection
Scar formation
Traditional Burn Management
Exposure method: The burn is left open to the air which allows to
form a dry protective crust or eschar. The infection has to be controlled
by antibiotics, and dehydration to be controlled by I.V. fluids.
Occlusion methods: The burn is covered by dressing that are thick
and absorbent enough for exudate, which is lifted, infection will
be easy to get in.
Scar Formation
Scar may be the end
product of burn injury if treated inappropriately, which may cause
residual dysfunction and discouragement, or even disablement in
severe cases.
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