A 1.5 years old child was brought to emergency with history of burn by hot water on both hands and palms. The lesion was pink, oozing and painful to air and touch. Which of the following is the best management for this patient?
(A) Paraffin gauze and dressing (B) Collagen dressing (C) Excision and grafting (D) Apply 1% silver sulfasalazine ointment and keep the wound open
(A) Answer- A. Paraffin gauze and dressingParaffin gauze and dressing - Collagenase is the most commonly employed enzymatic debriding agent currently commercially available in the United States.It is slow acting, requiring several days to one week to adequately debride or heal intermediate-depth paial thickness wounds.Superficial BurnsClean the burn wound & remove the roof of all blistersqExpose superficial burns of face but apply sterile liquid paraffin to reduce crusting.For burns of perineum, clean & expose but apply silver sulfadiazine cream. Nurse the patient without dressings on a sterile sheet on air or water-bed.Cover superficial burns of other areas with two layers of paraffin gauze & a bulky absorptive dressing