Burns


COCHRANE SYSTEMATIC REVIEW: Dressings for superficial and partial thickness burns.
Implications for practice: Hydrogel may speed healing time.
Review Overview: Superficial burns are those which involve the epidermal skin layer and partial thickness burns involve deeper damage to structures such as blood vessels and nerves. There are many dressing materials available to treat these burns but none has strong evidence to support their use. Evidence from poor quality, small trials, suggests that superficial and partial thickness burns heal more quickly with silicon-coated nylon, silver containing dressings and biosynthetic dressings than with silver sulphadiazine cream. Burns treated with hydrogel dressings healed more quickly than those treated with usual care.
LINK to Cochrane Library: Issue 3, 2013 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002106.pub4/abstract


COCHRANE SYSTEMATIC REVIEW: Interventions for treating phosphorus burns
Implications for practice: Sulphate maybe harmful when used to treat burns
Review Overview: The usual procedure for dealing with phosphorous burns is to remove any affected clothing and wash the wounds with water or saline solution. In addition, copper sulphate can be used to make the particles of phosphorous more visible and easier to remove, however, copper sulphate is poisonous and can be fatal if absorbed into the body. This review found no evidence that using copper sulphate improves the outcome of the burns, indeed based upon the limited available evidence, the review authors suggest that copper sulphate should not be used in the treatment of phosphorous burns
LINK to Cochrane Library: Issue 3, 2012 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008805.pub2/pdf/abstract