 |
HOT
WATER ( SUPERFICIAL TO MID 2nd Degree)
|
|
TREATMENT
1) Cold compress to control pain
2) Gentle wash
3) Xeroform- bacitracin (or biobrane) followed by
thick layer of gauze (except face)
4) Use flexnet or flexible variant to hold on
dressing
5) Clinic 24 - 48 hrs because of age and
difficulty of home care |
FLASH
BURN (SUPERFICIAL 2nd Degree) HOT WATER BURN
|
|
TREATMENT
1) Wash
2) Debride blisters and loose skin
3) Closed dressing with Xeroform and bacitracin (or
biobrane) followed by gauze and ace
4) Clinic 1-2 days because dressing will become
saturated. |
MID
PARTIAL THICKNESS SCALD BURN (Dorsum of Hand)
|
|
TREATMENT
1) Consider admission for elevation, debridement,
pain control
2) Admit if both hands involved
3) Initially, cold compresses very effective pain
relief
4) Use xeroform, bacitracin (can use skin
substitute)
5) If outpatient; need to return in 24 hrs due to
area involved. |
MID
TO DEEP PARTIAL THICKNESS BURN DUE TO FLASH EXPOSURE
|
|
TREATMENT
1) Transfer to Burn Center due to size, i.e. >
15% TBS
2) Too big to use cold dressings except for a very
brief initial period
3) Cover with xeroform and gauze after gentle
cleansing, then transfer or just cover and transfer
4) Definitive care can be done at Burn Center |
MID
AND DEEP 2nd BURN TO CRITICAL AREA
|
|
TREATMENT
1) Gently clean with mild soap
2) Apply topical antibiotic ointment or cream
followed by xeroform and soft gauze dressing
3) Meets transfer criteria for Burn Center due to
high risk location |
  
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