Management of Burns

Abstract

ABSTRACTSkin is an essential organ of our body & performs many vital functions. It consists of epidermis & Dermis. Epidermal and burns to superficial part of dermis heal very well with no or minimal scarring. Burns to deep dermis usually heal with hypertrophy and contractures. When skin is burnt, all vital functions of skin are lost. Burns of the face usually heal well due to presence of high proportion of papillary dermis. They should be protected from sunlight. It is known that reticular layer of dermis comes to the defense and protects against formation of contractures. It is also proved that thin layer over eyelids, face and neck is responsible for development of contractures. Thick layer of skin over buttocks & back protects against developing contractures. We should remember that once a scar, it is always a scar. It may not be possible to remove the scars completely, but we can minimize the burn scar. Management of burns includes, management at the site of injury, management in emergency room, management in ICU (intensive care unit), HDU (High dependency unit) and also wards. Meticulous dressings to be done as and when required. When all the wounds have healed advice for massage with oil or moisturizer, active physiotherapy, provision of cervical collar, splints and pressure garments. We should check for compliance of the treatment at regular intervals. Counselling of the patients requires utmost attention. Psychological support and rehabilitation is very essential as many patients may go for psychiatric illnesses. Secondary surgery for correction of deformities after 6 months or as per indication is mandatory.How to cite this articleDhanraj P. Management of Burns. J Med Sci 2017;3(4):102-110.