Burns of the hand. Thermal, chemical, and electrical

The principles of emergency management of the burned hand include early estimate of the depth of injury; prevention of unnecessary post-burn sequelae, such as edema formation and joint stiffness; and measures to ensure prompt healing of the wound. A successful outcome requires correct splinting interspersed with early active motion, control of infection with frequent dressing changes, and early referral to a hand surgeon if the wound cannot be expected to heal by two weeks.