Abstract
Abstract : Friction blisters rank high as causes of military disability. Controlled studies show that: Friction blisters are not burns but are due to shearing forces within the epidermis. These produce a cleft into which fluid passes, provided there is a sufficient pressure gradient from blood vessels and tissue fluid; friction blister fluid contains most of the proteins of the blood serum but in lesser concentrations; drainage of intact blisters at 24 to 36 hours, leading to firm reattachment of the top, forms a serviceable dressing; in military situations most blisters will be encountered with their tops torn off. Then a good dressing can be made by applying a selected cyano-acrylate which forms an artificial top; friction blisters can be produced on monkey paws; the instruments and information now available permit comparison of the friction-producing properties of different fabrics, materials, foot-wear and other gear; and also of the susceptibility to friction blistering of different individuals and sites. (Author)
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