Week 3 PT Management of Burns

Question 1

how do we treat partial thickness burns

Answer 1

• irrigate and debride, especially blisters and dead skin
• antimicrobial and ointments
• with things like imprgenated gauze, dry gauze then an elastic wrap

Question 2

what are the two things we want to do for full thickness burns

Answer 2

prepare for a graft and prevent infection

Question 3

why do we want to do early ROM and splinting

Answer 3

prevent contracture, and limit functional implications.

Question 4

how do we cover skin grafts

Answer 4

soaked gauze, with irrigation frequently, may splint for protection, and finish with compression.

Question 5

after you have adherence of the graft and vascularization, how do you treat

Answer 5

ointment, imprgenated gauze, wrap and netting.

Question 6

for scar management , what do we do with compression

Answer 6

23hours/day at 5-40mmHg

Question 7

why do we use silicone gels

Answer 7

to soften it and decrease hypertrophic scars

Question 8

why exercise

Answer 8

function, contracture prevention. we want to stretch to blanching and slow and sustained

Question 9

overaggressive stretch is linked to

Answer 9

HO

Question 10

is there a lot of evidence for massage

Answer 10

no it is lacking

Question 11

what does splinting want to focus on

Answer 11

elongation, to decrease contractors. Not comfort.