Case study: Deep- to partial-thickness road rash (burn)

Wound type:

Road rash burn

Patient

53-year-old homeless African-American female struck and dragged by a car while crossing the street

History

Malnutrition, smoking, alcohol abuse and intravenous drug use

Establishment of granulation tissue was achieved after daily application of SANTYL◊ Ointment with petroleum gauze dressings over THREE WEEKS*
*Individual results will vary

Wound presentation

  • Deep- to partial-thickness road rash (burn) to the anterior torso/chest wall
  • Suffered extensive additional injuries, including multiple fractures and internal bleeding
  • Kept in a trauma intensive care unit for stabilization of the injuries

Treatment

  • Because the patient was initially unstable for operating room debridement, a perioperative antibiotic, cefazolin, was administered
  • The wound was first cleansed with chlorhexidine scrub and then irrigated daily with normal saline after the dressings were removed
  • Enzymatic debridement was performed and followed with a once daily application of SANTYL Ointment with petroleum gauze dressing changes
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Day 0: Baseline

  • 15% total burn surface area (TBSA)
  • Burn thoroughly cleansed at bedside with chlorhexidine scrub
  • SANTYL Ointment with petroleum gauze dressings initiated
Image

PBD 5

  • Patient stabilized, VERSAJET◊ II debridement performed on PBD 3
  • Patient deemed too critically ill for skin graft
  • 12% TBSA
  • Wound cleansed by saline irrigation
  • SANTYL Ointment with petroleum gauze dressings continued
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PBD 17

  • 8% TBSA
  • Wound cleansed by saline irrigation
  • SANTYL Ointment with petroleum gauze dressings continued
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PBD 24

  • Less than 1% TBSA
  • Wound cleansed by saline irrigation
  • SANTYL Ointment continued on non-blanching portions of burn; petroleum gauze dressings continued on entire wound
  • Patient transferred to rehabilitation center where SANTYL Ointment was continued for approximately one more week on smaller burn areas to facilitate complete debridement

Result

Establishment of granulation tissue was achieved after daily application of SANTYL◊ Ointment with petroleum gauze dressings over THREE WEEKS*
*Individual results will vary

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