This paper is only available as a PDF. To read, Please Download here.
Extensive burns (that is, of 10 per cent or more of the body surface) are first treated for shock by morphine, external heat, vigorous administration of fluids, and possibly by blood transfusion. As early as possible, gauze saturated with per cent tannic acid solution is applied to the entire burned area and kept moist with this solution for twenty-four hours or more until the burned skin is thoroughly tanned. The burned area is then treated by the open air method under a heated cradle, supplemented by warm boric or soda irrigations. Fluids are pushed, and epinephrin and sodium chloride may be exhibited. Repeated blood transfusions occasionally are indicated. When all sloughs have disappeared and the wound is cleanly granulating, adhesive or rubber tissue strips are applied and scarlet red preparations may be used to accelerate epithelization. Skin grafting occasionally is advisable.
For small burns (5 per cent of the body surface or less) the application of soothing ointments containing phenol or picric acids and gauze dressings is the best treatment.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The American Journal of Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Keen's Surgery. 7. W. B. Saunders Co, Phila1921: 48
- Prognosis in burns and scalds.Am. J. Surg. 1926; 40: 59
- Approved and condemned methods in the treatment of burns and scalds.Internat. J. Surg. 1921; 30: 423
- Method of estimating extensiveness of lesions based on surface area proportions.Arch. Surg. 1924; 8: 138
- Etiology and incidence of thermal burns.Am. J. Surg. 1926; 1: 21
- Fatal superficial burns and the suprarenals.J. A. M. A. 1917; 69: 776
- Experiments on pathogenesis of death from burns.Rev. de méd. 1924; 41: 81-115
- Experiments on pathogenesis of death from burns.J. A. M. A. 1924; 83 (Abstract): 1802
- Death from burns.Policlinico. 1924; xxxi: 233-259
- Death from burns.J. A. M. A. 1924; 82 (Abstract): 2089
- Pathogenesis of death from burns.Am. J. M. Sc. 1926; 171: 682
- Arch. Int. Med. 1923; 32: 31
- Plasma proteins in cutaneous burns.Arch. Surg. 1927; 15: 265
- Prevention of toxemia in burns; treatment by tannic acid solution.Am. J. Surg. 1926; 40: 114
- Sodium chloride metabolism in cutaneous burns and its possible significance for rational therapy.Arch. Surg. 1926; 13: 262
- Toxemia in severe superficial burns in children.Am. Jour. Dis. Child. 1923; 25: 163
- Metabolism in burns.Bull. New York Acad. Med. 1927; 3: 401
- Treatment of severe burns by blood transfusion.Wien. klin. Wchnschr. 1925; 38: 833
- Treatment of severe burns by blood transfusion.J. A. M. A. 1925; 85 (Abstract): 860
- Zur Behandlung schwerer Verbrennungen mit Bluttransfusion.Arch. f. Dermat, u. Syph. 1927; 153: 41
- Oxford Surg. 1919; 2 (quoted by Davidson): 438
- Tannic acid in treatment of burns.Surg. Gynec. & Obst. 1925; 41: 202
- Treatment of cutaneous burns.Ann. Surg. 1926; 84: 1
- Burns treated with tannic acid.Ann. Surg. 1926; 84: 19
- Boston M. & S. J. 1926; 194: 848
- Tea in treatment of burns.China M. J. 1927; 41: 150
- Value of débridement in treatment of burns.J. A. M. A. 1925; 84: 655
- Treatment of burns.J. A. M. A. 1925; 84: 1917
- Treatment of burns.Brit. M. J. 1927; 1: 421
- Exsanguination-transfusion; new therapeutic measurement for severe toxemias.Arch. Surg. 1924; 9: 1
- An address on certain subjects of surgical interest.Brit. M. J. 1910; 2: 61
- Study of burns, their classification and treatment.Ann. Surg. 1927; 85: 490
- The paraffin-wax or closed method of treatment of burns.Surg. Gynec. & Obst. 1918; 26: 450
- Surg. Clin. N. Am. 1923; 3: 841
- Burns and scalds.Lancet. 1925; 1: 142
- Detoxication in treatment of burns.Brit. M. J. 1927; 1: 54
- Linimentum calcis chlorinatae in treatment of burns.Brit. M. J. 1924; 1: 711
- Dressing for burns.J. A. M. A. 1927; 88: 1483
- Immobilizing cage for treatment of burns and skin grafts.Am. J. Surg. 1927; 3: 23
- Southern Med. J. 1923; 16: 522
- Correction of burn scar deformity by Z-plastic method.J. Bone & Joint Surg. 1924; 6: 683
- Development of carcinoma in scar tissue following burns.Ann. Surg. 1926; 83: 165
- Gastrointestinal ulceration following cutaneous burns.Am. J. M. Sc. 1925; 169: 119
- Riforma Med. 1924; 40: 753
- J. A. M. A. 1924; 83 (Abstract): 1038
Davidson, E. C. Personal communication.
Sherman, W. O'N. Personal communication.
Koch, S. L. Personal communication.
Blair, V. P. Quoted by Koch, personal communication.
© 1928 Published by Elsevier Inc.