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Operative management of acute pavement burns: a case series
A G Silver1, W A Zamboni, R C Baynosa
1Senior Resident, University of Nevada, School of Medicine, Department of Surgery, Division of Plastic.
Journal of Wound Care
|November 7, 2014
Summary
Burns from hot roadways are deeper than they appear. Direct fascial excision for these severe burns reduces debridement needs, unlike tangential excision.
Area of Science:
- Trauma surgery
- Burn management
Background:
- Acute burns from contact with heated roadways and walkways are uncommon.
- This report evaluates treatment outcomes for a series of such burn injuries.
Observation:
- Seven patients with an average 10.2% total body surface area burn were reviewed.
- Three patients underwent direct fascial excision, while four had tangential excision.
- Tangential excision often required repeat debridement despite apparent normal endpoints.
Findings:
- Direct fascial excision appears to minimize debridement sessions for these burns.
- Roadway/walkway burns may be deeper than initially assessed.
- Potential causative factors for burn deepening include inadequate pressure offloading.
Implications:
- Surgical technique impacts debridement frequency in severe burns.
- Understanding burn depth is critical for effective treatment.
- Further research into pressure offloading mechanisms is warranted.
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