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    Initial Management of Small Burns: First Aid

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    Dara Aprillyanti
    This document provides guidelines for initial management and assessment of small burns. It recommends cooling burns with running water for 20 minutes. Burns should then be cleaned with chlorhexidine or saline, debris removed, and blisters over 5cm or joints debrided. Burns are assessed based on sensation, color, and capillary refill time to determine depth. Appropriate dressings are then applied depending on depth, with absorbent secondary dressings used within 72 hours for dermal burns producing excess exudate. Follow up within 24-48 hours is advised, with earlier referral to a surgeon for burns involving the mid to deep dermis or full thickness.

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    Initial Management of Small Burns: First Aid

    Uploaded by

    Dara Aprillyanti
    44 views1 page
    This document provides guidelines for initial management and assessment of small burns. It recommends cooling burns with running water for 20 minutes. Burns should then be cleaned with chlorhexidine or saline, debris removed, and blisters over 5cm or joints debrided. Burns are assessed based on sensation, color, and capillary refill time to determine depth. Appropriate dressings are then applied depending on depth, with absorbent secondary dressings used within 72 hours for dermal burns producing excess exudate. Follow up within 24-48 hours is advised, with earlier referral to a surgeon for burns involving the mid to deep dermis or full thickness.

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    This document provides guidelines for initial management and assessment of small burns. It recommends cooling burns with running water for 20 minutes. Burns should then be cleaned with chlorhexidine or saline, debris removed, and blisters over 5cm or joints debrided. Burns are assessed based on sensation, color, and capillary refill time to determine depth. Appropriate dressings are then applied depending on depth, with absorbent secondary dressings used within 72 hours for dermal burns producing excess exudate. Follow up within 24-48 hours is advised, with earlier referral to a surgeon for burns involving the mid to deep dermis or full thickness.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44 views1 page

    Initial Management of Small Burns: First Aid

    Uploaded by

    Dara Aprillyanti
    This document provides guidelines for initial management and assessment of small burns. It recommends cooling burns with running water for 20 minutes. Burns should then be cleaned with chlorhexidine or saline, debris removed, and blisters over 5cm or joints debrided. Burns are assessed based on sensation, color, and capillary refill time to determine depth. Appropriate dressings are then applied depending on depth, with absorbent secondary dressings used within 72 hours for dermal burns producing excess exudate. Follow up within 24-48 hours is advised, with earlier referral to a surgeon for burns involving the mid to deep dermis or full thickness.

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    Initial Management

    of Small Burns
    Cool with running water for up to 20 minutes
    Consider immersion or wet towels if running water unavailable
    FIRST AID If water is unavailable consider water gel products (in adults only)

    Provide analgesia
    Clean wound with 0.1% Aqueous Chlorhexidine or Normal saline,
    PREPARE Remove all foreign, loose and non viable skin/tissue
    Debride blisters if >5cm or over joints
    Shave hair in and around wound to 2cm radius

    BURN EPIDERMAL SUPERFICIAL MID DERMAL DEEP DERMAL FULL THICKNESS


    DERMAL

    ASSESS Painful Blistered, painful Sluggish capillary Deep red or No sensation


    DEPTH Epidermis raw return white No capillary
    damaged but Pale pink/red Less painful Dull sensation return
    intact Brisk capillary Dark pink to red Severely delayed Leathery white/
    Red return within burn or absent black or yellow
    wound capillary return

    INITIAL Gels to soothe Absorbent Silver products Silver products Silver products
    PRIMARY dressings • Acticoat • Acticoat • Acticoat
    DRESSING • Soothing • Foams • Acticoat • Acticoat • Acticoat
    moisturisers • Alginates Absorbent Absorbent Absorbent
    • Paraffin gauze • Mepilex Ag • Mepilex Ag • Aquacel Ag
    • Vaseline • Aquacel Ag • Aquacel Ag • Flamazine
    Silicone dressings • Flamazine • Flamazine
    • Mepilex • Biatain Ag
    • Allevyn Ag
    Silver products if Antimicrobial
    contaminated • Flaminal
    Silicone dressings
    • Mepilex
    Epidermal burns do not need secondary dressings
    INITIAL Dermal burns produced a significant amount of exudate in the first 72 hours.
    SECONDARY Absorbent secondary dressings such as gauze or foam should be considered to manage excess exudate
    LAYER Secure with adhesive tape dressing, crepe bandage, tubinet or tubigrip. Ensure it is non constrictive
    Elevate affected area as appropriate.
    DRESSING

    In 24 – 48 hours by GP or appropriate service


    FOLLOW UP Refer early to a surgeon if excision and skin grafting should be considered for mid dermal, deep dermal
    and full thickness burns.
    Refer on appropriately if wound becomes infected or is slow to heal (Unhealed >14 days).
    Adapted from the Victorian Burn Service

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