Treatment Plan & Prognosis

Treatment Plan

Primary care management:

• Wound management
• Analgesia At <5 years with full status = No V.
• Skin care advice: cold baths, compresses, emollients
• Sun protection
• Tetanus prophylaxis assessment At 5–10 years with full 3rd course + 1
• Infection monitoring preschool booster = No V. needed but:
• Review within 48 hours If no booster = if clean wound then no
• Follow-up every 3-5 days until healed
•    V. needed, If tetanus-prone wound = Clean it, give V., If very high risk, give V + HTIG at different site to V

Immediate hospital referral for:

• Complex burns If >11 years old with full immunisation
• Full thickness burns (<10 years ago) = No V. needed.
• Deep dermal burns >5% surface area
• All deep dermal burns in children If >11 years old with full immunisation
• Circumferential deep dermal burns but >10 years ago = Follow same as the
• Critical area involvement 5-10 years old with no booster (3rd Inhalation injuries bullet point)
• Significant comorbidities
• For not received courses/ unsure status = Clean wound, give V.

Prognosis

• If tetanus-prone wound or high risk of Varies by depth:     T = Give V + HTIG.

• Superficial epidermal: resolves within 7 days, no scarring
• Superficial dermal: resolves within 14 days, no scarring
• Deep dermal/full thickness: requires surgery, risk of scarring/contractures