Case study: Chemical burn to right thigh

Wound type:

Chemical burn

Patient

22-year-old male

History

Tobacco use but otherwise in good health

Wound re-epithelialization in most of burn in 35 days*
*Individual results will vary

Wound presentation

  • Presented to the Outpatient Burn Wound Care Center with a chemical burn to the right thigh Post Burn Day (PBD) 1.
  • Initially seen at Workers’ Compensation Clinic, where the wound was irrigated for 15 minutes.

Treatment

Image
Baseline

PBD 1: Baseline

  • Full thickness burn
  • Wound measures approx. 6.0cm x 1.5cm
  • Scored eschar
  • Applied SANTYL◊ Ointment; to be continued daily with dressing changes
  • Sharp debridement not done; determined necessary later
Image
Pre Sharp Debridement

PBD 7: Post-sharp debridement

  • Sharp debrided, #10 blade
  • Significant reduction in slough and necrotic tissue
  • Continued with daily SANTYL Ointment application and dressing changes
Image
PBD 14

PBD 14

  • Remaining visible necrotic tissue
  • Anesthetized with lidocaine gel
  • Sharp debrided with curette
  • Continued with daily SANTYL Ointment application and dressing changes
Image
PBD 21

PBD 21

  • Necrotic tissue still visible
  • Sharp debridement continued
  • Continued with daily SANTYL Ointment application and dressing changes
  • Wound re-epithelializing and contracting
Image
PBD 35

PBD 35

  • No slough/necrotic tissue
  • Re-epithelialization in most of burn
  • SANTYL Ointment discontinued
  • Silver hydrogel applied

Result

Wound re-epithelialization in most of burn in 35 days*
*Individual results will vary

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