Abstract
Because of the increasing mortality in burned patients, a revision of the method of treatment of burns has been instituted on the Surgical Service at the San Francisco General Hospital. The initial treatment for burn shock consists of electrolytes without the use of colloids. Oral saline solution is initiated as soon as the patient can tolerate it, which is usually on the first day. Blood is used only during the latent period if a drop in the packed cell volume becomes evident. The prophylactic use of antibiotics has been greatly curtailed. Homografts are used as an early burn dressing. This method of treatment is compared to the results obtained in the treatment of burns in which the Brooke formula, late autografting and prophylactic antibiotics are used.
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