Initial assistance to hand burns: literature review

  • Jefferson Braga Silva Hospital São Lucas da PUCRS Faculdade de Medicina PUCRS
  • Márcio Pereira Lima Ferdinando Hospital São Lucas da PUCRS
  • João Guilherme Meinem Garbin Pontifícia Universidade Católica do Rio Grande do Sul
  • Victoria d'Azevedo Silveira Pontifícia Universidade Católica do Rio Grande do Sul
Keywords: hands, wounds and injuries, burns, primary treatment.

Abstract

Aims: To address, through a literature review, the management of hand burns, with emphasis on the initial care.

Methods: Between February and July 2015, 30 articles selected in the databases Medline/PubMed, LILACS, SciELO and Google Scholar were reviewed. Both the English and Portuguese languages were included in the search. Selected articles were published in the last 10 years and matched the following descriptors: hand burn; hand injury; acute treatment; primary treatment; and their counterparts in Portuguese.

Results: Classification of burns is displayed, including depth, extent and aggravating factors. The initial management that avoid complications such as claw hand, compartment syndrome and infection is addressed. Early procedures include occlusive dressings, escharotomy, fasciotomy, and carpal tunnel opening, followed by dressings with topical antimicrobial agents, debridement and grafting. Controversial aspects are discussed on the most appropriate time for surgical intervention, if it is necessary.

Conclusions: The correct early approach to hand burns can prevent irreversible consequences. The appropriate management on hand burns includes since the initial clinical evaluation of the burned area by a general practitioner, to the realization of early procedures in order to prevent limb function loss and unnecessary future reconstructions. The high incidence of this type of burn also stresses the importance of a proper conduct.

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Author Biographies

Jefferson Braga Silva, Hospital São Lucas da PUCRS Faculdade de Medicina PUCRS

PhD. Livre Docente em Cirurgia da Mão, Universidade Federal de São Paulo (UNIFESP), Chefe do Serviço de Cirurgia da Mão e Microcirurgia Reconstrutiva do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS). Diretor da Faculdade de Medicina da PUCRS. Ex-Presidente da Sociedade Brasileira da Cirurgia da Mão. Ex-Presidente da Sociedade Brasileira de Microcirurgia.

Márcio Pereira Lima Ferdinando, Hospital São Lucas da PUCRS

MD. Pós-Graduação em Cirurgia Geral PUCRS. Médico Residente em Serviço Cirurgia da Mão e Microcirurgia Reconstrutiva PUCRS.

João Guilherme Meinem Garbin, Pontifícia Universidade Católica do Rio Grande do Sul
Acadêmico de Medicina
Victoria d'Azevedo Silveira, Pontifícia Universidade Católica do Rio Grande do Sul
Acadêmica de Medicina PUCRS

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Published
2015-09-10
How to Cite
Braga Silva, J., Pereira Lima Ferdinando, M., Meinem Garbin, J. G., & d’Azevedo Silveira, V. (2015). Initial assistance to hand burns: literature review. Scientia Medica, 25(2), ID20908. https://doi.org/10.15448/1980-6108.2015.2.20908
Section
Review Articles