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Dx Burns and Scalds Treatment:

Burns and Scalds

N.H.S. Choices
"Burns and scalds are damage to the skin caused by heat. Both are treated in the same way. A burn is caused by dry heat. This can be caused by an iron or fire, for example. A scald is caused by something wet, such as hot water or steam. Burns can be very painful and can cause blisters and charred, black or red skin.

Treating burns and scalds:
To treat a burn, follow the first aid advice below:
*immediately get the person away from the heat source to stop the burning
*cool the burn with cool or lukewarm water for 10 to 30 minutes
* do not use ice, iced water or any creams or greasy substances such as butter
*remove any clothing or jewellery that is near the burnt area of skin, but
*do not move anything that is stuck to the skin
*make sure the person keeps warm – for example by using a blanket – but
*take care not to rub it against the burnt area
*cover the burn by placing a layer of cling film over it
*use painkillers, such as paracetamol or ibuprofen, to treat any pain

The British Red Cross website has a video about first aid for burns.

When to get medical attention:
Depending on how serious a burn is, it may be possible to treat it at home. For minor burns, keep the burn clean and do not burst any blisters that form.
*More serious burns will require professional medical attention. You should go to a hospital A&E department for:
*all chemical and electrical burns
*large or deep burns – any burn bigger than your hand
*full thickness burns of all sizes – these burns cause white or charred skin
*partial thickness burns on the face, hands, arms, feet, legs or genitals – these are burns that cause blisters

If someone has breathed in smoke or fumes, they should also seek medical attention. Some symptoms may be delayed and can include coughing, a sore throat, difficulty breathing or facial burns.

People who are at greater risk from the effects of burns, such as children under five years old and pregnant women, should also get medical attention after a burn or scald.

The size and depth of the burn will be assessed and the affected area cleaned before a dressing is applied. In severe cases, skin graft surgery may be recommended.

Medications Used in Treatment:
1. Corticosteroids: Prednisone
2. Silver dressings: silvadene
3. Anabolic Steroids: Oxandrin, Nandrolone
4. Human Growth Hormone: Tec-Tropin, Omitrope

Suggested Links:
*Medscape [excellent review of physicians and emergency burn cases]

*[Editor] Recombinant human growth hormone [may be given] as substiution therapy... for metabolic conditions such as AIDS-associated wasting and severe burns... up to .2mg/kg/day.

*[Editor]Hormonal dysregulations in severe burns. Measurements of the concentrations of pituitary, thyroid and gonadal hormones have been made under both basal and stimulation test...The most remarkable changes were found in the pituitary-gonadal system with testosterone concentrations significantly decreased at all times during the periods of study.

*[Editor] 5-years after using Oxandrin for severe burns, child fared better with increased height, BMC, cardiac work and muscle strength.

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