The wound/burn guidelines - 6: Guidelines for the management of burns

J Dermatol. 2016 Sep;43(9):989-1010. doi: 10.1111/1346-8138.13288. Epub 2016 Mar 12.

Abstract

Burns are a common type of skin injury encountered at all levels of medical facilities from private clinics to core hospitals. Minor burns heal by topical treatment alone, but moderate to severe burns require systemic management, and skin grafting is often necessary also for topical treatment. Inappropriate initial treatment or delay of initial treatment may exert adverse effects on the subsequent treatment and course. Therefore, accurate evaluation of the severity and initiation of appropriate treatment are necessary. The Guidelines for the Management of Burn Injuries were issued in March 2009 from the Japanese Society for Burn Injuries as guidelines concerning burns, but they were focused on the treatment for extensive and severe burns in the acute period. Therefore, we prepared guidelines intended to support the appropriate diagnosis and initial treatment for patients with burns that are commonly encountered including minor as well as moderate and severe cases. Because of this intention of the present guidelines, there is no recommendation of individual surgical procedures.

Keywords: burn index; deep burn; deep dermal burn; epidermal burn; superficial dermal burn.

Publication types

  • Practice Guideline

MeSH terms

  • Administration, Cutaneous
  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents, Local / therapeutic use
  • Bandages
  • Bronchoscopy
  • Burns / classification
  • Burns / diagnosis*
  • Burns / therapy*
  • Burns, Inhalation / diagnosis
  • Burns, Inhalation / therapy
  • Fluid Therapy / methods*
  • Humans
  • Hydrotherapy
  • Lung / diagnostic imaging
  • Ointments / administration & dosage
  • Ointments / therapeutic use
  • Prognosis
  • Radiography
  • Severity of Illness Index*
  • Silver Sulfadiazine / therapeutic use
  • Tetanus / prevention & control
  • Tetanus Toxoid / therapeutic use
  • Wound Healing*
  • Wound Infection / prevention & control

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Ointments
  • Tetanus Toxoid
  • Silver Sulfadiazine