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

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

Author information

1
Department of Dermatology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
2
Department of Dermatology, Fukushima Medical University, Fukushima, Japan.
3
Department of Dermatology, Yamagata University Faculty of Medicine, Yamagata, Japan.
4
Intensive Care Unit, Kumamoto University Hospital, Kumamoto, Japan.
5
Department of Dermatology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
6
Department of Dermatology, Mazda Hospital, Hiroshima, Japan.
7
Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
8
Department of Dermatology, Gunma University Graduate School of Medicine, Gunma, Japan.
9
Department of Dermatology, Faculty of Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Ishikawa, Japan.
10
Department of Dermatology, Kansai Medical University, Osaka, Japan.
11
Department of Dermatology, Hyogo College of Medicine, Hyogo, Japan.
12
Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
13
Department of Dermatology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
14
Department of Dermatology, Tokyo Medical University, Tokyo, Japan.
15
Department of Dermatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
16
Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
17
Department of Dermatology, St. Marianna University School of Medicine, Kanagawa, Japan.
18
Department of Dermatology, NTT Medical Center, Tokyo, Japan.
19
Department of Dermatology, Nippon Medical School, Tokyo, Japan.
20
Department of Dermatology, Japan Community Health Care Organization Chukyo Hospital, Aichi, Japan.
21
Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
22
Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
23
Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan.
24
Department of Dermatology, University of Tsukuba, Ibaraki, Japan.
25
Department of Dermatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
26
Department of Dermatology, Jichi Medical University, Tochigi, Japan.
27
Department of Dermatology, The Jikei University School of Medicine, Tokyo, Japan.
28
Ichige Dermatology Clinic, Ibaraki, Japan.
29
Department of Dermatology, Osaka Red Cross Hospital, Osaka, Japan.

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

PMID:
26971391
DOI:
10.1111/1346-8138.13288
[Indexed for MEDLINE]

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