Clinical History:

SB is a two-year-old female who suffered partial and full thickness thermal burns to her right foot and leg and right hand on July 4, 1998. According to the mother, the child fell into a camp-fire while playing. The child was seen within 20 minutes of the time of injury in extreme pain. Silverlon® burn dressings were applied to all thermally injured areas. Within 20 minutes the child was calm and quiet; not expressing pain. The patient was placed on oral antibiotics. She followed up on July 7, 1998 for her first dressing change. The burn dressings were removed without discomfort or pain and photographs were taken. The necrotic partial thickness skin was removed without sedation and new Silverlon® dressings were applied. The child followed up on July 8^th, July 10^th, and July 13^th, at which time the dressings were changed and the wounds examined.  After July 13^th, they did all dressing changes on a daily basis. The child was subsequently seen on July 23^rd and August 17^th. Final photographs were taken on February 23^rd, 1999.

Before

After

Clinical Significance:

Partial and full-thickness thermal burns are complex and debilitating injuries.  Silverlon® burn dressing therapy simplifies the daily dressing for burn treatment protocols.  Pain appears to be reduced within an hour after the application of the burn dressing.  The observed benefits of the Silverlon® burn dressing are:

• Reduced wound edema (swelling) during the first 48 hours after injury;

• Dressing changes were done by the mother 9 days after the injury;

• Reduced the necessity of additional wound debridement;

• Reduced hospitalization time;

• No requirement for skin grafting.