Care of Outpatient Burns

Abstract

Smaller burns may be treated in the outpatient setting, though proper care should be taken in the assessment of the patient to ensure appropriateness of outpatient management. This chapter discusses the recommended criteria for referral to a designated burn center, in addition to identifying those who would be better suited to inpatient care. The initial care of smaller burns, as well as commonly used dressings used for burn wound management are discussed in this chapter as well as some more advanced treatments such as biologic and synthetic grafting materials that can be utilized in the out-patient setting. Out-patient management of non-thermal burn injuries is also elucidated. The importance of recognizing abuse in the burn victim is discussed. The important issue of pain management in the out-patient setting is discussed. Finally, factors that should be addressed at the initial and follow-up visits are discussed, including wound closure, pruritis, and rehabilitation.