By John A. Clarke
The prognosis, diagnosis and selection of assorted kinds of remedy of burn wounds relies principally at the actual visual appeal of the wound itself and of the encompassing tissue. This atlas deals a variety of illustrations of universal and strange burns, brought on by various brokers. The accompanying captions offer an advent to the identity and type of burns. Outlines of the precise administration are provided for every form of damage, with ahead of, in the course of and after therapy sequences the place invaluable.
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Extra info for A Colour Atlas of Burn Injuries (Chapman & Hall Medical Atlas Series, 9)
32 (b) At three weeks it is clear that the white exposed dermis over the right flank is deeper. The burn should be very superficially shaved, leaving as much dermis as possible, and a thin skin graft applied . (c) Six weeks after the injury, the burn, grafts and donor site are healed. WOUND CARE Bacterial colonization of the wound cannot be pre \'ented but frequent change of dressings will keep the absolute number of organisms down, thus pre ' -enting invasive sepsis. If infection does occur, the .
Fig. 23 Escharotomy of the chest. Escharotomies are made along the lateral chest wall with extensions to re lease respiratory excursions anteriorly. (a) The incision is initially almost bloodless. (b) A bipolar coagulator is used to control the haem orrhage after a few minutes. (c) The incisions are dressed with ribbon gauze as an aid to haemostasis. (d) Appearance three days later. 38 FIXATION OF FRACTURES FIXATION OF FRACTURES Fractures of the long bones can be safely held in reduction even when the skin over the fractures is deeply burned.
It can be seen in Fig. 19 that this has not occurred. Initially, an incision is made in the centre of the burn down to fat and is extended along the line of the limb (Fig. 20). Pain indicates that the incision has reached an area of superficial burn, therefore further incision will not be necessary. Extension proximally and distally along the medial and lateral aspects of the limb releases the constriction (Fig. 21). Bleeding must be controlled with either a catgut stitch or a cautery and the incisions dressed and bandaged.
A Colour Atlas of Burn Injuries (Chapman & Hall Medical Atlas Series, 9) by John A. Clarke