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Burns: management

By Andy Green, DipClinPharm, MRPharmS and Nicola Rudall, MSc, MRPharmS

Skin graftTimely and appropriate management of burns can improve the outcome for victims

Summary

Appropriate management of the patient in the first 48 hours after a burn is essential for optimal recovery. Principally, this will include fluid resuscitation and emergency surgery.

Later, optimum conditions for healing and tissue regeneration must be maintained and skin grafting may be needed.

The patient will require a range of therapeutic interventions, including nutritional supplementation, use of antimicrobials, analgesia and appropriate wound dressings. In the long term, patients are at greater risk of sun damage and the healed burns can form contractures and are often itchy.

 

Andy Green is senior lead clinical pharmacist for surgical services and Nicola Rudall is senior lead clinical pharmacist for perioperative and critical care,  both at Newcastle Upon Tyne Hospitals NHS Foundation Trust.

Email: andrew.green@nuth.nhs.uk

See correspondence

Citation: Clinical Pharmacist URI: 11017152

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