TREATMENT OF BURNS
Pain
reduction is very important
Shock
therapy
Prevention
bacterial Control, dietary innovation, quantity of liquid, protein
and calories
Degrees:
1st
degree : fatty compress (vaseline/optule¨)
2nd
degree at the surface : fatty compress, hydrocollo•d dressing,
biologic compress, transparent wound follies
2nd
degree deep : anti bacterial ointment, (flammazine¨ Duphar),
biological dressing (donor skin)
3rd
degree : anti-bacterial ointment (flammazine¨ Duphar) Fatty
compress such as with Vaseline and Optule¨ Anti bacterial ointment
is flammazine¨ once a day Bath in water with Biotex¨ and afterwards
dab with water with 1% of
chloorhexidine/hibitane
Closed
treatment
Positive
: Local antibacterial, necroses fades away
Negative:
painful changing of bandage
Open
treatment (only when the patient is isolated - hardly ever used in
the Netherlands):
Positive:
Fast closing of the skin, prevents infection, reduces pain,
prevents mechanical damage of the vital skin and epithelia
rests/granulate tissue, restricts scarring Scab forming and
restricted loosing of liquid
Negative:
Diagnosis difficult to make Scab can brake and cause an opening for
bacteria/infection People are (psychologically) confronted with the
wound Important: isolation of the patient; sterile air conditioning
of the patient's room Ointments such as: flamacine, sucidine etc.
Depends on the kind of bacteria!
Half
Open Treatment (only when the patient is
isolated)
Anti
bacterial ointment and no compresses
