The optimal temperature of first aid treatment for partial thickness burn injuries

被引:98
作者
Cuttle, Leila [1 ]
Kempf, Margit [1 ]
Kravchuk, Olena [2 ]
Phillips, Gael E. [3 ]
Mill, Julie [1 ]
Wang, Xue-Qing [1 ]
Kimble, Roy M. [1 ]
机构
[1] Univ Queensland, Royal Childrens Hosp, Dept Pediat & Child Hlth, Burns Res Grp, Herston, Qld 4029, Australia
[2] Univ Queensland, Sch Land Crop & Food Sci, St Lucia, Qld, Australia
[3] Royal Brisbane & Womens Hosp, Dept Anat Pathol, Queensland Hlth Pathol Serv, Herston, Qld, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
D O I
10.1111/j.1524-475X.2008.00413.x
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Using our porcine model of deep dermal partial thickness burn injury, various cooling techniques (15 degrees C running water, 2 degrees C running water, ice) of first aid were applied for 20 minutes compared with a control (ambient temperature). The subdermal temperatures were monitored during the treatment and wounds observed and photographed weekly for 6 weeks, observing reepithelialization, wound surface area and cosmetic appearance. Tissue histology and scar tensile strength were examined 6 weeks after burn. The 2 degrees C and ice treatments decreased the subdermal temperature the fastest and lowest, however, generally the 15 and 2 degrees C treated wounds had better outcomes in terms of reepithelialization, scar histology, and scar appearance. These findings provide evidence to support the current first aid guidelines of cold tap water (approximately 15 degrees C) for 20 minutes as being beneficial in helping to heal the burn wound. Colder water at 2 degrees C is also beneficial. Ice should not be used.
引用
收藏
页码:626 / 634
页数:9
相关论文
共 37 条
[11]   Histology of the thick scar on the female, red Duroc pig: Final similarities to human hypertrophic scar [J].
Harunari, Nobuyuki ;
Zhu, Kathy Q. ;
Armendariz, Rebecca T. ;
Deubner, Heike ;
Muangman, Pornprom ;
Carrougher, Gretchen J. ;
Isik, F. Frank ;
Gibran, Nicole S. ;
Engrav, Loren H. .
BURNS, 2006, 32 (06) :669-677
[12]   FORCE OF CONTRACTION OF FULL-THICKNESS WOUNDS OF RABBIT SKIN [J].
HIGTON, DIR ;
JAMES, DW .
BRITISH JOURNAL OF SURGERY, 1964, 51 (06) :462-&
[13]  
Irei M, 1986, J Burn Care Rehabil, V7, P508, DOI 10.1097/00004630-198611000-00013
[14]  
IUNG O S, 1963, Ind Med Surg, V32, P365
[15]   THE DIAGNOSIS OF THE DEPTH OF BURNING [J].
JACKSON, DM .
BRITISH JOURNAL OF SURGERY, 1953, 40 (164) :588-596
[16]   THE EFFECT OF PROMPT LOCAL COOLING ON EDEMA FORMATION IN SCALDED RAT PAWS [J].
JAKOBSSON, OP ;
ARTURSON, G .
BURNS, 1985, 12 (01) :8-15
[17]   Cooling the burn wound: evaluation of different modalites [J].
Jandera, V ;
Hudson, DA ;
de Wet, PM ;
Innes, PM ;
Rode, H .
BURNS, 2000, 26 (03) :265-270
[18]  
KING TC, 1965, ARCH SURG-CHICAGO, V91, P656
[19]  
Knight KL, 1985, CRYOTHERAPY THEORY T
[20]   THERMAL CONDITIONS WHICH CAUSE SKIN BURNS. [J].
Lawrence, J.C. ;
Bull, J.P. .
Engineering in Medicine, 1976, 5 (03) :61-63