Abstract

BURN CARE HAS IMPROVED MARKedly in the decades that have passed since the sad description quoted above. Of the 1.25 million individuals who are treated for burns in the United States each year, about 51000 require hospital admission. High-risk groups include infants and young children, elderly persons, and young people in industrial occupations. Care of serious burns progresses through 4 phases, which often overlap in time: (1) initial evaluation and resuscitation; (2) initial excision and biological closure; (3) definitive wound closure; and (4) rehabilitation, reconstruction, and reintegration (TABLE).

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