A 14 year old girl sustains a steam burn measuring 6 by 7 inches over the ulnar aspect of her right forearm. Blisters develop over the entire area of the burn wound, and by the time the patient is seen 6 hour after the injury, some of the blisters have ruptured spontaneously. In addition to debridement of the necrotic epithelium, all the following therapeutic regiments might be considered appropriate for this patient, except:
Patient in the question has suffered from second degree, deep type burns. Options for topical treatment of deep burns are: 1% silver sulphadiazine cream, 0.5% silver nitrate solution, mafenide acetate cream and serum nitrate, silver sulphadiazine cream and cerium citrate. Ref: Critical Care Transpo By American Academy of Ohopaedic Surgeons, American College Of Emergency Physicians, Page 447
Application of silver sulfadiazine and daily washes, but no dressing
Application of Poly vinylpyrorolidone foam, daily washes and a light occlusive dressing changed daily
Application of mafenide acetate cream, but no daily washes or dressing
Heterograft application with sutures to secure it in place and daily washes, but no dressing