Burns of t'he first degree may be treated by ap-
plying a two per cent, solution of j)icric acid to the
affected parts, or the burned surface may be dusted
with equal parts of Purchase Acticin Online zinc oxide, bcjric oxide, and pow-
dered starch, followed by the application of a loose,
soft bandage : lead and opium water have been fre-
quently applied with gratifying results. In the ab-
sence of other remedies sterilized water may be
used. When the pain cannot be controlled other-
wise, the hypodermic use of morphine is indicated.
In burns of the second degree we should relieve
the shock and pain, if necessary, by one quarter
grain of morphine. The next effort will be one to
prevent infection. The blebs should be emptied
when they are full of serum ; this may be done by
puncturing the bleb at its edge just through the
healthy skin, allowing the epidermi- to remain as a
covering. After carefully cleansing the healthy
tissues about the burn, the burned area should be
irrigated with normal salt Acticin Cream 5 solution and gently
mopped with soft gauze to remove foreign matter.
.\nesthesia may sometimes be necessary to thor-
oughly cleanse a burned surface. There should
next be applied a dressing Buy Cheap Acticin which is both antiseptic
and analgesic. \'arious solutions and emollients
have been suggested and employed, but none as yet
has been found to be the ideal. Picric acid may be
applied in one to two per cent, solutions ; a service-
able solution may be made by dissolving seventy-
five grains of picric acid in a pint and a half of
water, to which is added two ounces of alcohol.
This should be applied to the cleansed burned sur-
face by placing strips of sterile gauze wet with this
solution ; these are covered with absorbent cotton
and bandage. The dressing should Order Acticin be changed in
about four days. Equal parts of hydrous wool fat
and zinc oxide ointment may be applied to the
burned surfaces and covered over with sterile
gauze and soft bandages. Ointments of boric acid
or ichthyol have been found advantageous.
In the burns of the third degree the shuck and
pain should be allayed by a quarter grain dose of
morphine and in some cases a permanent warm
bath may be employed. If a limb is so involved
that the possibilities Generic Acticin of nourishment are destroyed,
amputation of the Acticin Cream limb should be resorted to, as
soon as the symptoms of shock have sub-ided.
Saline and boric acid solutions should be used to
cleanse the bums of the third degree. Stronger
antiseptic solutions are dangerous because of \he
possibility of ab.sorption. Simple sterile dressings
should be applied. Dressings should be as fre-
quent as the degree of infection in each individual
case demands. Ulcers should be touched with a
282
PRIZE ESSAYS
two per cent, solution of nitrate of silver, and the
sloughs should be removed when it is possible to
do so. Skin grafting may be employed in those
cases where it is indicated.
The adjuvants to the local treatment must al-
ways be borne in mind; the pain, collapse, restless-
ness, and heart failure must all receive appropriate
treatment.
G. J. Ellis, of Covington, Ky., icritcs:
Our choice of local applications for burns is
determined by their severity and e.xtent, but in all Buy Acticin Online
cases the principles are the same : protection and
antisepsis with as infreciuent changing Buy Acticin of dressings
as possible. For a burn of a few square inches in
extent, not beyond the degree of vesication, we
may use an ointment of five per cent, boric acid in
petrolatum, to which one per cent, of cocaine may Purchase Acticin
be added for the first day or two. For a larger burn
of the same degree, the best application is picric
acid, which is most conveniently prescribed in six
per cent, alcoholic solution ; three ounces of this
solution to be added to one quart of water. Strips
of gauze saturated with this solution are applied,
covered with cotton, and lightly bandaged. This
dressing may be left undisturbed for three or four
days, and a second similar dressing will often be
sufficient to complete healing. As vesicles form,
they should 1>e punctured and drained, allowing the
skin to settle on the underlying surface as a pro-
tection. Acticin Permethrin Cream The utmost care should be exercised in
changing the dressings, as well as in removing over-
lying clothing when the patient is first seen, all ad-
herent fabric being removed by prolonged soaking
with warm normal saline or two per cent, boric
acid solution. In treating large burns, the dress-
ings should be removed and replaced in small sec-
tions to avoid chilling. Deeper burns should be
treated Acticin Price with a five per cent, boric acid ointment, or,
in the case of an extremity, in a continuous bath of
wann one to two per cent, boric acid solution.
Hemorrhage may be serious during sloughing, and
is best treated by compression. After sloughing
the treatment is that of any other granulating
wound : stimulating applications, solid stick of
nitrate of silver for exuberant granulations, and skin
grafting. One drachm of balsam of Peru to two
ounces of castor oil, ten per cent, thymol iodide
ointment, and from five to ten per cent, scarlet red
ointment are excellent applications. Destruction of
the entire thickness of the skin will always be fol-
lowed by cicatricial contraction, which may be
lessened by skin grafting and the use of splints and
extension. Amputation may be required in severe
burns of the extremities. Burns of the conjunc-
tiva and cornea are treated by cocaine instillations
and cold Order Acticin Online compresses to the eyelids, keeping the
pupil dilated with atropine and frequently separ-
ating the conjunctival surfaces and instilling castor
oil to prevent adhesions. Flame and steam are
sometimes inhaled, causing burns of the fauces and
upper respiratory passages — a very dangerous
condition often leading to edema of the glottis.
These patients should be kept in a warm, moist at-
mosphere, alkaline antiseptic sprays and gargles
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