Burnsgeneral management Surgery

• Escharotomy may be needed on hospital admission to affected limbs, as well as to the neck and/or chest if a circumferential burn is present.

• Debridement of necrotic tissue is often begun within the first few days as early grafting is associated with improved outcome.

Coverage is obtained using either split skin grafts from the patient's own unaffected skin, donor skin grafts or even experimental 'skin'.

Blood loss may be rapid and massive, e.g. 100ml per 1% of body surface grafted.

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