Burn Dressing

Burn Dressing

Dressing in a burn wound has three purposes:

Absorption of drainage (absorption of oedema fluid), reduction of pain, isolation and protection of the wound from the environment.

When considering the choice of dressing for a burn injury, it is important to think of the size and depth of the burn, and also the aim of the dressing to be applied.

In first degree burns, sunscreen creams, moisturizing creams twice a day or creams containing aloe vera, antihistamines are recommended to be used. The objective is the provision of analgesia (pain relief). In extensive first-degree burns, if necessary, the patient can be hospitalized for pain and intravenous fluid administration.

In the treatment of second degree superficial dermal burns, there is no need for surgical treatment. It can be treated with appropriate creams and dressings. Paraffin-impregnated drapes will not stick to the wound and reduce pain during dressing changes. Polyurethane film layers can also be used in cosmetically visible areas. If these are not provided, dressing with gauze pads impregnated with paraffin or oily ointments (eg, 0.2% Nitrofurazon ointment) is suitable.

Treatment of Bullas: Bullas that are small and not thought to burst uncontrollably can be left as it is. Large bullae should be evacuated or removed, and dressing should be applied.

In second degree deep dermal burns, antibiotic creams (e.g silver sulfadiazine, mupirocin, nitrofurazone) can be applied directly or under paraffin-impregnated gauze. It heals without surgical intervention, leaving significant scarring. Surgical intervention is recommended for better scar healing.

Third-degree burns is treated with serial excisions of eschars and skin grafting with a dermatome.

Burns occurring in the areas of eyes, ears, face, hands, feet, and genitals should be treated by experienced people in the experienced units/centres.