摘要
Full thickness injuries have no regenerative elements left. Unless they are very small they will takeweeks to heal and undergo severe contraction. They should be referred for surgery as early as possible. Deep dermal injuries are unlikely to heal within three weeks. The incidence of unsightly hypertrophic scarring rises from 33%to 78%if healing is delayed from three to six weeks. Therefore these injuries should also be excised and grafted within the first 5-10 days. Superficial wounds should heal by regeneration within two weeks. They should be cleaned, dressed, and reviewed on alternate days to optimise the wound healing environment Any burn not healed within two weeks should be referred for assessment. Clean wounds can be dressed with a non adherent primary dressing such as tulle gras or Mepitel and an absorbent secondary dressing such as gauze or Gamgee Tissue. Antimicrobial agents are added where infection is likely (perineum, feet) or heavy colonisation is evident on the dressings or invasive infection is suspected.
Full thickness injuries have no regenerative elements left. Unless they are very small they will takeweeks to heal and undergo severe contraction. They should be referred for surgery as early as possible. Deep dermal injuries are unlikely to heal within three weeks. The incidence of unsightly hypertrophic scarring rises from 33%to 78%if healing is delayed from three to six weeks. Therefore these injuries should also be excised and grafted within the first 5-10 days. Superficial wounds should heal by regeneration within two weeks. They should be cleaned, dressed, and reviewed on alternate days to optimise the wound healing environment Any burn not healed within two weeks should be referred for assessment. Clean wounds can be dressed with a non adherent primary dressing such as tulle gras or Mepitel and an absorbent secondary dressing such as gauze or Gamgee Tissue. Antimicrobial agents are added where infection is likely (perineum, feet) or heavy colonisation is evident on the dressings or invasive infection is suspected.
