In message <004901bf7ca8$10657de0$cc48063e@Andres>, Andres Izquierdo
Martin <[log in to unmask]> writes
>I cannot see the advantages of using lignocaine jelly in burns. The pain in a
>partial thickness burn decreases considerably after dressing with Jelonet (or
>similar) and the potential toxicity from systemic absortion is a worrying
>feature.
>I like the idea of betidine oitment. I will try in the future.
>
>Andres Izquerdo Martin
>SpR Emergency Medicine
>Royal Free Hospital
>North East Thames Region
>[log in to unmask]
>
Not so keen on your betadine, Andres. Would free iodine not delay
healing? would it also not sting? Or, as I suspect, would it not make
any difference!
There are a lot of people using flamazine with no problem whatsoever.
Consensus on this thread appears to me to be saying that paraffin gauze
sticks after 24 hrs. I agree.
I am a little unconvinced about the argument that flamazine becomes a
culture medium after 8 hours. I bet you could dress a (small) burn with
agar jelly (lab culture medium) and see no increase in infections.
The bugs have to penetrate the medium, rather than merely grow on it. A
bit like confining oneself in a blockhouse made of chocolate!
I have a suspicion that it matters very little what you put on a small
burn as long as it is clean, does not adhere and is not cytotoxic.
Obviously larger burns are a different matter. My heresy does not extend
quite that far.
--
Stephen Hughes
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