A skin graft is a surgical procedure in which sections of your own healthy skin are used to replace the scar tissue caused by deep burns. Your doctor may cut the eschar to relieve this pressure. An eschar that goes completely around the chest can make it difficult to breathe. If a burn scab (eschar) goes completely around a limb, it can tighten and cut off the blood circulation. Your doctor may thread a feeding tube through your nose to your stomach. People with extensive burns or who are undernourished may need nutritional support. If that appears likely, your doctor may insert a tube down your windpipe (trachea) to keep oxygen supplied to your lungs. If you've been burned on the face or neck, your throat may swell shut. You may need one or more of the following procedures: And occupational therapy may help if you have difficulty doing your normal daily activities. Other types of exercises can improve muscle strength and coordination. These can help stretch the skin so that the joints can remain flexible. If the burned area is large, especially if it covers any joints, you may need physical therapy exercises. Your doctor might recommend a tetanus shot after a burn injury. If you develop an infection, you may need IV antibiotics. If you are being transferred to a burn center, your wound will likely be covered in dry gauze only. Your care team may also use various specialty wound dressings to prepare the wound to heal. These help prevent infection and prepare the wound to close. If you are not being transferred to a burn center, your care team may select from a variety of topical products for wound healing, such as bacitracin and silver sulfadiazine (Silvadene). You may need morphine and anti-anxiety medications - particularly for dressing changes. You may need intravenous (IV) fluids to prevent dehydration and organ failure. Your care team may use techniques such as ultrasound mist therapy to clean and stimulate the wound tissue. Medical treatmentĪfter you have received first aid for a major burn, your medical care may include medications and products that are intended to encourage healing. And they may need emotional support and months of follow-up care, such as physical therapy. They may need skin grafts to cover large wounds. People with severe burns may require treatment at specialized burn centers. The goals of treatment are to control pain, remove dead tissue, prevent infection, reduce scarring risk and regain function.
They usually heal within a couple of weeks.įor serious burns, after appropriate first aid and wound assessment, your treatment may involve medications, wound dressings, therapy and surgery.
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