By John A. Clarke
The prognosis, analysis and selection of assorted forms of therapy of burn wounds relies mostly at the actual visual appeal of the wound itself and of the encircling tissue. This atlas bargains a variety of illustrations of universal and strange burns, because of a number of brokers. The accompanying captions supply an advent to the id and type of burns. Outlines of the correct administration are provided for every form of damage, with ahead of, in the course of and after therapy sequences the place beneficial.
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Extra info for A Colour Atlas of Burn Injuries (Chapman & Hall Medical Atlas Series, 9)
B) Under general anaesthesia, the eschar is lifted off. clean, healthy bed is revealed with no residual dead ' . ssue. A thin split skin graft can be applied, and healing '" - ;)Uld be rapid and uneventful. Fig. 5 Prevention of contamination. Although most of this eschar remains dry, some areas are becoming macerated and are therefore potentially contaminated. Thorough washing with an antiseptic soap solution , fol lowed by drying in a very warm atmosphere , may allow the surface to dessicate and the exposure technique to be continued.
12 Preparation for tracheostomy. With the nasoendotracheal tube in situ, the neck was extended and a sand bag placed beneath the shoulders. The skin was cleaned and draped, and after consultation with the anaesthetist a range of suitably sized tracheostomy tubes were assembled. These tubes were checked, their cuffs tested and connecting tubes and adaptors fitted. Fig. 13 Excision of burned skin. (a) The burned skin low in the neck, over the site of proposed tracheostomy, was generously excised down to healthy fat.
It is common to find a mixed bacterial flora on the burn wound, and secondary infection which may follow the use of antibiotics often involves multiresistant organisms and fungi . J Fig. 18 Failed treatment by exposure method. The surface has been kept wet by saliva and the wound is l eavily contaminated with Staphylococcus aureus . Tho rough cleaning and dressing , with the administration of an appropriate antibiotic, are required . Fig. 19 Lancefield group A ~ haemolytic streptococ cal infection of the foot.