Burn Treatment

Question 0

Deep partial thickness (deep 2nd degree)

Answer 0

Wound care and debridement

Gentle A/PROM 72 hours postop

Edema control

Splinting

ADL and role activities

Strengthening when wounds heal

Question 1

Superficial partial thickess (2nd degree)

Answer 1

Wound care and debridement (whirlpool, dressing changes)

Gentle A/PROM 72 hours post-op

Edema control

Splints

ADL and role activities

Question 2

Full thickness burn (third degree)

Answer 2

72 hours: dressing changes, splint at all times

5-7 days: AROM, light meaningful activities, sterile whirlpool

7+ days: PROM as tolerated, meaningful activities

When wounds are healed, use massage

Compression garments

Otoform or elastometer inserts

Strengthening

Question 3

Anterior neck burn

Answer 3

Avoid neck flexion; remove pillows, use half mattress to extend neck, neck extension splint

Question 4

Axilla burn

Answer 4

Avoid adduction; 120 degree abduction with slight external rotation; axillary splint or wedge; watch for signs of brachial plexus strain

Question 5

Anterior elbow burn

Answer 5

Avoid flexion; extension splint in 5-10 degrees flexion

Question 6

Dorsal wrist burn

Answer 6

Avoid wrist extension; splint in neutral

Question 7

Volar wrist burn

Answer 7

Avoid wrist flexion; splint in 5-10 degrees extension

Question 8

Dorsal hand burn

Answer 8

Avoid claw deformity; splint with MP joints in 70-90 degrees, IP fully extended, thumb in opposition

Question 9

Volar hand burn

Answer 9

Avoid palmar contracture or cupping; use palmar extension splint with MP in slight hyperextension

Question 10

Anterior hip burn

Answer 10

Avoid hip flexion; use prone positioning, place weight on thighs when in supine, and use knee immobilizers

Question 11

Knee burn

Answer 11

Avoid knee flexion; use knee extension positioning and splints, prevent external rotation

Question 12

Foot burn

Answer 12

Avoid foot drop; splint with ankle 90 degrees but watch for heel ulcers