Burn Wound Dressing

Surgery · Burns/Surgery · 10–20 min

Initial and daily dressing of superficial/partial thickness burns.

Indications

  • Burn wound care

Contraindications

  • Circumferential deep burns (may need escharotomy)

Equipment

  • Saline
  • Silver sulfadiazine cream or non-adherent silver dressing
  • Sterile gauze
  • Crepe

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/6)

Tap to complete

1. Analgesia

IV opioid + paracetamol prior.

2. Cleanse

3. Deroof blisters selectively

4. Apply SSD or silver dressing

5. Elevate limb

6. Review 24–48h

Immediate complications

  • Hypothermia
  • Pain

Delayed complications

  • Infection
  • Scarring
  • Contracture

Recognition

  • Fever, cellulitis

Initial management

  • Antibiotics if infected
  • Escalate to burn unit

Prevention

  • Aseptic technique
  • Cover to reduce heat loss

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Drugs used in this procedure

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

WardRound

WardRound

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