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October 1971

Current Problems in Burns: A Perspective

Author Affiliations

Richmond, Va
From the Department of Surgery, Medical College of Virginia, Health Sciences Division, Virginia Commonwealth University, Richmond.

Arch Surg. 1971;103(4):454-460. doi:10.1001/archsurg.1971.01350100048009

A comparison of fluid and electrolyte formulas in common usage reveals that the quantities of sodium and water recommended for burned children by the Evans, Brooke, and Shriner's Burn Institute (Boston) formulas, though calculated differently, are essentially the same. In large burns (80%), the Baxter formula gives twice as much sodium as the Evans or Brooke. In moderate burns (40%), the difference is considerably less. The use of colloid is necessary in severely burned children and in adults diminishes the need for lactated Ringer's solution. Mafenide acetate (Sulfamylon Cream), silver nitrate, and gentamicin reduce burn wound bacteria significantly and effect significant control over burn wound infection. Skin homografts and xenografts have made a major contribution to burn therapy. A new standard for fabric flammability for children's nightwear is proposed which could save hundreds of lives.

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