Burn Treatment

After the wound is cleaned, a determination is made about the burn depth. Non-full-thickness burns, ie partial-thickness burns, heal spontaneously at a given time. First degree burns heal in 4-7 days, second degree burns heal in 2-4 weeks. During this healing period, the burn wound is properly closed and the wound is protected from the external environment. In other words, the wound is closed with suitable materials and appropriate surface and time is prepared for spontaneous healing. In superficial burns, closure of the burn wound with a permanent dressing in the early period is one of the most appropriate methods. If the burn area is small, the patient can be discharged to the home if the patient is reliable and home life and surroundings are suitable, and the patient can be treated as an outpatient until the depth of the burn is determined or obvious.  If this is to be followed, the patient should be seen at least twice a week, including patient education, recognition of signs of infection, adherence to health information rules, and nutritional support.

Analgesic, topical antibiotic cream application and tetanus immunoprophylaxis are performed in second or third degree burns. It is difficult to decide on the depth assessment of scald burns of infants and young children in the early period. It takes longer to determine the depth of burn in older patients than in adults and children.

Wound care of the burned patient is postponed until the completion of the control of the patient's general condition and vital functions, or is not effectively carried out.

The wound is initially washed with saline and cleaned. If the wound is dirty, wash with a mild soap. There is no need to use antiseptic substances. Before any intervention is made to the wound, pain relief is given to the patient. The removal of foreign objects from the wound, the removal of clothing is done at the beginning. If the burned area is not dirty, contaminated and infected, if the blisters do not explode, the fluid collected usually is discharged with the help of an injector and the blister membrane is adhered to the substrate. Thus, the burn wound is covered with biological cover. If the blisters are dirty, contaminated, infected and blistered during transportation or stripping, blister residues are debrided.

Three initiatives are privileged here, which are;

washing,

cooling

escarotomy procedures.

BURN WOUND TREATMENT AND CLOSURE

Burn wound treatment is planned and maintained according to the depth of the burn. Treatment of burn patients whose burn wound is small or not wide is usually carried out as an outpatient.

The dressings made to the burn wound have been divided into two groups as open or closed dressings. The open dressing method, which became very popular after the Second World War lost its popularity and is not used much except for small burns.