I am to leave the ambulance. What is the wound treatment at home?

Subject: Discharge Instructions for Home Wound Care – Deep BURN

Dear Patient,

We are pleased that you have reached a stable condition following your burn injury and are now ready for discharge from our care. The Burncare team, under the supervision of Dr. Michael Truppe, has carefully assessed your progress and determined that you can continue your recovery at home. We understand this may be a daunting prospect, but please know that we will provide you with comprehensive instructions to ensure optimal wound healing and comfort.

Firstly, it is essential to maintain an appropriate wound dressing to prevent infection and promote healing. For deep burns, the use of hydrocolloid or foam dressings is recommended due to their ability to absorb exudate and maintain a moist wound environment. These dressings should be changed every 3-5 days or as needed based on signs of increased exudate or maceration.

To change your dressing at home, follow these steps:

1. Wash your hands thoroughly with soap and water before and after the procedure.
2. Gently clean the wound area with normal saline solution using a soft, non-abrasive gauze to avoid damaging fragile tissue.
3. Apply a thin layer of a topical antibiotic ointment or cream, such as silver sulfadiazine or mupirocin, to help prevent infection and promote healing.
4. Carefully remove the old dressing by lifting the edges and sliding it off without pulling on the wound edges.
5. Dispose of the old dressing in a plastic bag and seal it before throwing it away.
6. Apply the new hydrocolloid or foam dressing, ensuring that it covers the entire wound area evenly.
7. Secure the dressing with sterile non-adhesive tape or a bandage to prevent the dressing from coming off prematurely.
8. Cover the dressing with a clean, dry, and loose-fitting gauze or non-stick dressing to protect the wound from external factors and keep it clean.
9. Apply a sterile, non-adhesive pad over bony areas to prevent pressure ulcers.
10. Keep the area dry during bathing; consider using a waterproof dressing or shower chair for bathing.

Regarding pain management, we recommend that you continue taking prescribed pain medication as directed by your healthcare provider.

2024-01-21 00:39 Telekonsultation

Dr. med. univ. Michael Truppe here, I’m an acute burn specialist and I understand that you have a severe burn on your right forearm, which requires proper care and attention. Given your medical history of type 2 diabetes and chronic obstructive pulmonary disease (COPD), it is essential to ensure a personalized treatment plan for your specific needs.

Firstly, let me assure you that I will work closely with other healthcare professionals to provide a holistic approach to your burn care. This includes not only acute medical and surgical intervention but also long-term rehabilitation and psychological support.

Now, regarding the wound treatment at home: Since your burn is approximately 10 cm in diameter and shows characteristics of a deep partial-thickness burn with blistering and a wet surface, it’s crucial to follow specific guidelines for proper wound care.

1. Cleaning: Gently clean the burn area daily using soap and water. Be sure to rinse thoroughly and pat dry. Do not use harsh soaps or abrasive materials as they may cause further damage to the skin.
2. Dressing: Apply an appropriate dressing to keep the wound moist and protect it from infection. You can use a sterile, non-adhesive dressing such as hydrocolloid or silicone gel sheets. These dressings promote healing by maintaining a moist environment and reducing pain.
3. Pain management: Given your pain level of 8 out of 10, it’s important to manage your discomfort effectively. Your healthcare team may prescribe pain medication, which should be administered intravenously during the hypovolemic shock phase due to impaired gastrointestinal function. For moderate to severe pain management, opioids such as morphine or hydromorphone are often used since they can be given intravenously and orally and are available in fast-acting and slow-release forms.
4. Tetanus: Since there is a risk of anaerobic burn wound contamination, it’s essential to ensure that you have been adequately immunized against tetanus. If you have not been vaccinated within the previous 10 years, your healthcare team may recommend tetanus immunoglobulin.
5. Follow-up: Regular follow-up appointments with your healthcare

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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