Treatment of burns in children

D. N. Herndon, P. B. Thompson, M. H. Desai, T. J. Van Osten

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28 Scopus citations

Abstract

Discussed in this article are emergency management of the victim, fluid resuscitation, energy requirements, albumin and blood replacement, prevention of infection, biologic dressings, burn wound excision, and treatment of inhalation injury. Decreases in mortality from major thermal injury over the last 20 years have been due to advances in resuscitation, control of infection, support of the hypermetabolic response, and early closure of the burn wound. Of these advances in burn care, early wound closure has progressed the most in the last five years. The restoration of the protective functions of the skin is of primary importance to the recovery of the burn patient. Biologic dressings (pigskin, amnion, human skin allograft) when applied to fully debrided, relatively uncontaminated wounds have been shown to adhere to the wound surface, reduce the wound colony counts, limit fluid and protein loss, reduce pain, and increase the rate of epithelialization over that obtained with application of topical antimicrobial agents.

Original languageEnglish (US)
Pages (from-to)1311-1332
Number of pages22
JournalPediatric Clinics of North America
Volume32
Issue number5
DOIs
StatePublished - Jan 1 1985

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Herndon, D. N., Thompson, P. B., Desai, M. H., & Van Osten, T. J. (1985). Treatment of burns in children. Pediatric Clinics of North America, 32(5), 1311-1332. https://doi.org/10.1016/S0031-3955(16)34907-0