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Acute Management

Please see theÌýÌýfor best practice advice regarding acute paediatric burn injuries. Additional information can also be found in the .

Burns dressings

Before dressing, gently debride blisters and non-viable tissue. Consider appropriate procedural pain management prior to commencing.
Dress the burns with a silver dressing (ideally Acticoat 7 layered dressing).
Ensure family are aware to keep all dressings dry and intact until next review.

Acticoat Layered Dressing

Video demonstration of
- MepitelÌý(omit this step if not available)
- Acticoat 7 - Wet with water not salineÌý(Acticoat - 3 day product may be used if Acticoat 7 not available)
- Intrasite Conformable (Wet gauze may be used as alternative if Intrasite not available or impregnate gauze with Intrasite gel)
- Cling FilmÌý(Tegaderm may be used as occlusive layer)
- Cut dressing to size - Cling Film should not exceed the borders of the Acticoat dressing
- Hypafix
- Secondary securementÌý(eg: Tubigrip/crepe bandage)

Mepilex Ag
Can be used if no access to Acticoat
Secure with Hypafix
Not for deep dermal or full thickness burns.

Face Burns

Video demonstration of Ìý²¹²Ô»åÌý

Avoid silver dressings near eyes.
Dressings can be placed to areas of forehead or cheek/jaw.

For undressed areas use paraffin (chlorsig if mucky)
Ensure families are aware to continue face cares at home

• Cleanse area with warm water and soft cloth
  
• Spread a thin layer of paraffin over affected areas
  
• Ensure previous layer of paraffin is cleaned away before applying again

Hand Burns

Video demonstration of

Nutrition

³§±ð±ðÌýNutrition Guidelines for admission of a burns patient

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