Optimum Temperatures for Postburn Cooling

King, Thomas C.; Zimmerman, Jack M.

doi:10.1001/archsurg.1965.01320160110026

Cited by 20 publications

(5 citation statements)

References 7 publications

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“… Dissipating the heat is the first objective as tissue temperatures above 45°C continue to cause local injury (35). Cooling with running tap water for 10 minutes is essential as this removes as much heat as possible, helps reducing the initial pain (36–38) and decreases oedema in the wound (39). Particularly in young children, the risk of under cooling, with associated dangerous drops in core temperature exists: thus, burn patients should not be emerged in a bath with ice cold water. Rings on fingers and toes have to be removed: these will serve as a tourniquet when oedema starts to occur. Wounds may be gently cleaned with a bland soap.…”

Section: First Aid and Guidelines For Referralmentioning

confidence: 99%

A general overview of burn care

Hermans

2005

International Wound Journal

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Section: First Aid and Guidelines For Referralmentioning

confidence: 99%

A general overview of burn care

Hermans

2005

International Wound Journal

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“…The amount of edema formation has also been shown to be not directly related to the amount of tissue damage with a full thickness burn accumulating less fluid than a partial thickness injury 9 . Also, many cooling studies assess only one or two outcomes such as: dye extravasation 10 ; wound observation 11 or subcutaneous temperature and scar area, 12 rather than comprehensively studying all aspects of wound healing. Often in these reports there is only a brief statement that cooled burns healed better or faster than the uncooled burns, with no data to support this, presumably because most studies measured short‐term outcomes.…”

mentioning

confidence: 99%

The optimal temperature of first aid treatment for partial thickness burn injuries

Cuttle

Kempf

Kravchuk

et al. 2008

Wound Repair Regeneration

112

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Using our porcine model of deep dermal partial thickness burn injury, various cooling techniques (15 degrees C running water, 2 degrees C running water, ice) of first aid were applied for 20 minutes compared with a control (ambient temperature). The subdermal temperatures were monitored during the treatment and wounds observed and photographed weekly for 6 weeks, observing reepithelialization, wound surface area and cosmetic appearance. Tissue histology and scar tensile strength were examined 6 weeks after burn. The 2 degrees C and ice treatments decreased the subdermal temperature the fastest and lowest, however, generally the 15 and 2 degrees C treated wounds had better outcomes in terms of reepithelialization, scar histology, and scar appearance. These findings provide evidence to support the current first aid guidelines of cold tap water (approximately 15 degrees C) for 20 minutes as being beneficial in helping to heal the burn wound. Colder water at 2 degrees C is also beneficial. Ice should not be used.

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“…Inflammatory mediators generated from the inflammatory cells through thermal action can impact adversely on burn wounds (12)(13)(14)(15). Hemodynamic alterations and additional infection may also lead to further progression of burn wound necrosis (14,16).…”

Section: Discussionmentioning

confidence: 99%

The effect of low molecular weight heparin on salvaging the zone of stasis in an experimental burn model

2018

Turk J Med Sci

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Background/aim: Multiple zones of injuries are formed after burns, consisting of a zone of coagulative necrosis, a zone of hyperemia, and a zone of stasis, in which progressive microcirculatory thrombosis leads to degeneration and deepening of the wound. We used an experimental rat comb burn model to test the hypothesis that use of low molecular weight heparin (LMWH) may save the zone of stasis. Materials and methods: Adult female rats were randomly divided two groups: the LMWH group (n = 8) rats received subcutaneous LMWH injections, while the saline group (n = 8) rats were injected with the same volume of saline solution by the same route. The zone of stasis was evaluated macroscopically and histologically, and functional capillary density was evaluated. Results: Histological assessments revealed higher macrophage numbers and PML density, fibroblast proliferation, and angiogenesis in the LMWH group than in the saline group. Functional capillary density measurement in the stasis zones revealed no significant difference between the two groups in the first 4 days, although a significant difference in favor of the LMW group was observed in the last 3 days. Conclusion: The results of this experimental study show that LMWH is effective in saving the zone of stasis.

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Optimum Temperatures for Postburn Cooling

Cited by 20 publications

References 7 publications

A general overview of burn care

A general overview of burn care

The optimal temperature of first aid treatment for partial thickness burn injuries

The effect of low molecular weight heparin on salvaging the zone of stasis in an experimental burn model

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