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Managing burn blisters

Article Abstract:

There is still considerable controversy about the treatment of burn blisters, particularly about the management of blister fluid. The conventional approach is to evacuate blister fluid and remove dead tissue, as it is thought that doing so reduces the risk of infection. However, research indicates that leaving blisters intact reduces the time burns take to heal, capillary stasis and wound necrosis. The regional burns unit at Mount Vernon Hospital in Middlesex, England, recommends the aspiration of burn blister fluid with a needle and syringe, permitting the inflammatory response to be completed before the roof of the blister is excised.

Author: DuKamp, Adele
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 2000

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Burnt into our memory

Article Abstract:

Valuable lessons have been learnt about dealing with major incidents as a result of nursing burns victims from the King's Cross fire in London, United Kingdom, in 1987. University College Hospital has implemented some key changes to its major incident policy. These include instructing staff not to telephone to ask if they are needed. They should wait to be contacted. Staff on duty in other departments are to remain there and public buildings must be available for use as temporary mortuaries. Medical procedures such as skin grafts have improved since 1987.

Author: Crossley, Neil
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1997
Management, Practice, Fires, Emergency nursing, Mass casualties, Medical emergencies

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An Ethiopia experience

Article Abstract:

Treating a patient with 45% burns can present particular problems in Ethiopia, where resources are limited and hospital conditions are poor. The patient concerned had to be carried part of the way to the hospital, and arrived in hypovolaemic shock. She was initially treated with anti-tetanus toxin and rehydrated with normal saline. Debridement of all damaged tissue was undertaken the following day, and she was in a critical condition. She is now recovering well, but still requires considerable emotional support.

Author: Salmon, Karen
Publisher: Macmillan Publishing Ltd.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1996

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Subjects list: Care and treatment, Burns and scalds, Burn therapy
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