Burn Wound Injury Dressing Selection

Original Editor - Stacy Schiurring based on the course by Diane Merwarth

Top Contributors - Stacy Schiurring and Jess Bell

Burn Wound Injury Standard of Care

Please see this document for a growing list of wound care terminology and definitions.

The current standard of care for large and deep burn wounds is (1) early surgical excision and (2) wound closure

• wound closure can be achieved by skin grafting or temporary biological coverage for deep partial and full thickness burns

Those burn wounds which underwent surgical debridement and grafting or temporary coverage will not be covered in this module as the determination of wound closure or coverage and the subsequent bandaging will be at the discretion of the surgeon.  LINK TO OTHER PP PAGE HERE.

Expections to Standard of Care:

• Surgery not feasible due to patient status, or resource availability

• Grafting or skin substitutes not appropriate due to (1) contaminated wounds, (2) native skin is too damaged or of too small an area to provide a skin graft, or (3) skin substitutes are not available.

Burn wounds which (1) do not undergo surgical debridement, or that (2) underwent surgical debridement without application of a skin graft or temporary covered with a skin substitute will require ongoing dressing changes throughout the course of healing. 

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