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Abstract
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 ![Math Eq]()
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.
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.
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Davidson, E. C. Personal communication.
Sherman, W. O'N. Personal communication.
Koch, S. L. Personal communication.
Blair, V. P. Quoted by Koch, personal communication.
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© 1928 Published by Elsevier Inc.
