Burns Dressings Resources

Bolts · Aug 11, 2005

Gwenith,

I figuring you might know and being a bit time poor at the moment I will have to wait to go though the links you provided at a later date. But just a quick one, have you heard of using hypofix on burns? Is there a reference for this? I am just trying to find the underpinning rational for doing this, any help would be greatly appreciated.

Bolts

I am making this a separate thread and will be including many product websites simply for easy reference.
In including these site we are in no way endorsing the product they have been posted here so that those who are currently working in burns or even just those who are curious can compare what is currently available.
Acticoat
http://www.acticoat.com/acticoat_1.html
http://www.dressings.org/Dressings/acticoat-7.html
http://devweb3.vip.ohio-state.edu/Materials/PDFDocs/dis-cond/burn/acticoat.pdf
Silverlon
http://www.silverlon.com/
Product Comparison
Treat this site with the usual grain of salt as it is the makers of silverlon but interesting information nonetheless
http://www.silverlon.com/compare.htm
http://burncare.net/compare.html
Journal article comparing the two
http://www.journalofburns.com/read.php?articlerow=21
Biobrane
http://www.burnsurgery.org/Betaweb/Modules/skinsubstitutes/sec5.htm
http://www.medbc.com/annals/review/vol_8/num_3/text/vol8n3p142.htm
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=91113317
Honey and Burns
Don't faint - there is some research starting to support this and it is being used in third world countries where they cannot afford the more expensive treatments - There are two evidence based reports where it is being used in Australia and the UK.
http://au.store.yahoo.com/neemstore/scienres.html
http://www.rdns.net.au/news/POE_newsletter_issue1_Nov.pdf
http://www.jr2.ox.ac.uk/bandolier/booth/alternat/honey2.html

jennihardi · Aug 30, 2011

We use a lot of wound vacs in our burn unit, I'm still on the fence about their effectiveness. They are supposed to help w/vascularization and prepare the wound bed for grafting. I think our problem is we leave them on too long. The wounds are debrided in the OR, wound vacs placed in the OR and the whole process repeated every 5-10 days until the MD feels the wounds are ready for grafting. We also use Mepilex, a mildly adhesive silver impregnated drsg. Although we don't use it as it is intended (on donor sites), I've heard that it heals really well. We use Xeroform on our donor sites, which I hate. It doesn't seem like enough is used to properly cover the margins of the donor site, as well as not enough staples used to secure it. Then in the post-op period the patient becomes edematous and the drsg pulls away from the margins and exposes the wound. We then use the Bair Hugger unit to direct air onto the sites so the donor sites don't become soupy and wet. It seems a little ghetto if you ask me. There must be a better way. Also, for our partial thickness burns (2nd degree) we use Collagenase ointment, an enzymatic debridement ointment mixed with Polysporin power, spread it on xeroform and apply to the wounds, done BID. This works well but you also have to be able to scrub the wounds well to get off that pseudo-eschar or yellow slough. I'd like to know what other units do as well.