Paediatric Acute care Guidelines PMH Emergency Department

Pre-Procedure

  • Use aseptic technique at all times to minimise risk of infection
  • Do not use 0.9% saline on wound as it de-activates the silver dressing
  • Debride any large blisters and remove loose skin with sterile scissors and metal forceps
  • Do not use Fixomull on any burns  

Procedure

Medications

  • Ensure child has had adequate analgesia before applying burns dressing. See ED Guideline: Burns – Medication.

Management

Sunburn

  • For non blistered superficial erythema use Aloe vera gel and leave uncovered
  • For more severe sunburn (blistered or skin loss) treat as below

Facial Burns

  • Apply a thin layer of emollient

 

Management of All Other Burns at PMH (as per the following scenario):

Child admitted to Burns Ward without delay

  • Keep the wound moist by wrapping in sterile water soaked dressing towel or in cling warp (if age appropriate) until transfer to the Burns Ward

Delay in admission or returning to Burns Clinic appointment the following day

  • Use Nanocrystalline Silver dressing (Acticoat) moistened with sterile water
  • Cut the Acticoat to the size of the burn (include blistered and/or erythematous area)
  • Apply layer of intrasite gel to the blue side of the Acticoat
  • Apply prepared Acticoat directly to the wound surface (blue side down)
  • Cover Acticoat with water compress (gauze soaked in sterile water) to keep the Acticoat moist
  • Wrap with sterile webril and crepe bandage and secure with leucoplast tape

For discharge with Burns Clinic appointment in 2 days or later

  • Use Nanocrystalline Silver dressing (Acticoat) moistened with sterile water
  • Cut the Acticoat to the size of the burn (include blistered and/or erythematous area)
  • Apply layer of intrasite gel to blue side of Acticoat
  • Apply prepared Acticoat directly to the wound surface (blue side down)
  • Cover Acticoat with Duoderm dressing ensuring that edges overlap Acticoat dressing by 2cm and adhere to skin
  • Wrap with sterile webril and crepe bandage and secure with leucoplast tape
 

Links

  • Burns Ward: 9340 8257
  • Burns Outpatient Clinic: 9340 8861
  • Burns Clinical Nurse Specialist: 9340 8269

Tags

We want your feedback!

Help us provide guidelines that are useful to you, the clinician.

Give feedback here