The optimal duration and delay of first aid treatment for deep partial thickness burn injuries

被引:86
作者
Cuttle, Leila [1 ]
Kempf, Margit [1 ]
Liu, Pei-Yun [1 ]
Kravchuk, Olena [2 ]
Kimble, Roy M. [1 ]
机构
[1] Univ Queensland, Royal Brisbane Hosp, Dept Paediat & Child Hlth, Burns & Trauma Res Grp, Herston, Qld 4029, Australia
[2] Univ Queensland, Sch Land Crop & Food Sci, Herston, Qld 4072, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
Burn; First aid; Cold; Water; Duration; Delay; Partial thickness; Porcine model; EDEMA FORMATION; PORCINE MODEL; WATER; TEMPERATURE; SCARS; PIG;
D O I
10.1016/j.burns.2009.08.002
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
Using our porcine model of deep dermal partial thickness burn injury, various durations (10 min, 20 min, 30 min or 1 h) and delays (immediate, 10 min, 1 h, 3 h) of 15 degrees C running water first aid were applied to burns and compared to untreated controls. The subdermal temperatures were monitored during the treatment and wounds observed weekly for 6 weeks, for re-epithelialisation, wound surface area and cosmetic appearance. At 6 weeks after the burn, tissue biopsies were taken of the scar for histological analysis. Results showed that immediate application of cold running water for 20 min duration is associated with an improvement in re-epithelialisation over the first 2 weeks post-burn and decreased scar tissue at 6 weeks. First aid application of cold water for as little as 10 min duration or up to 1 h delay still provides benefit. (C) 2009 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:673 / 679
页数:7
相关论文
共 28 条
[1]
ALLEN FM, 1950, ARCH SURG-CHICAGO, V6, P515
[2]
*AUSTR NZ BURN ASS, 2002, EM MAN SEV BURNS MAN
[3]
Optimal duration of cooling for an acute scald contact burn injury in a porcine model [J].
Bartlett, Nita ;
Yuan, Jennifer ;
Holland, Andrew. J. A. ;
Harvey, John G. ;
Martin, Hugh C. O. ;
La Hei, Erik R. ;
Arbuckle, Susan ;
Godfrey, Craig .
JOURNAL OF BURN CARE & RESEARCH, 2008, 29 (05) :828-834
[4]
THE EFFECT OF LOCAL TEMPERATURE ON FLUID LOSS IN THERMAL BURNS [J].
COURTICE, FC .
JOURNAL OF PHYSIOLOGY-LONDON, 1946, 104 (03) :321-345
[5]
The efficacy of Aloe vera, tea tree oil and saliva as first aid treatment for partial thickness burn injuries [J].
Cuttle, Leila ;
Kempf, Margit ;
Kravchuk, Olena ;
George, Narelle ;
Liu, Pei-Yun ;
Chang, Hong-En ;
Mill, Julie ;
Wang, Xue-Qing ;
Kimble, Roy M. .
BURNS, 2008, 34 (08) :1176-1182
[6]
The optimal temperature of first aid treatment for partial thickness burn injuries [J].
Cuttle, Leila ;
Kempf, Margit ;
Kravchuk, Olena ;
Phillips, Gael E. ;
Mill, Julie ;
Wang, Xue-Qing ;
Kimble, Roy M. .
WOUND REPAIR AND REGENERATION, 2008, 16 (05) :626-634
[7]
Acticoat™:: A cost-effective and evidence-based dressing strategy [J].
Cuttle, Leila ;
Mill, Julie ;
Kimble, Roy M. .
BURNS, 2008, 34 (04) :578-579
[8]
A retrospective cohort study of Acticoat™ versus Silvazine™ in a paediatric population [J].
Cuttle, Leila ;
Naidu, Sanjeev ;
Mill, Julie ;
Hoskins, Wendy ;
Das, Karina ;
Kimble, Roy M. .
BURNS, 2007, 33 (06) :701-707
[9]
A porcine deep dermal partial thickness burn model with hypertrophic scarring [J].
Cuttle, Leila ;
Kempf, Margit ;
Phillips, Gael E. ;
Mill, Julie ;
Hayes, Mark T. ;
Fraser, John F. ;
Wang, Xue-Qing ;
Kimble, Roy M. .
BURNS, 2006, 32 (07) :806-820
[10]
HYPERTROPHIC BURN SCARS - ANALYSIS OF VARIABLES [J].
DEITCH, EA ;
WHEELAHAN, TM ;
ROSE, MP ;
CLOTHIER, J ;
COTTER, J .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1983, 23 (10) :895-898