Chemical injuries of the upper extremity.

T. J. Orcutt, Basil A Pruitt

Research output: Contribution to journalArticle

Abstract

Original languageEnglish
Pages (from-to)84-95
Number of pages12
JournalMajor problems in clinical surgery
Volume19
StatePublished - 1976
Externally publishedYes

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Upper Extremity
Burns
Wounds and Injuries
Mafenide
Biological Dressings
Chemical Burns
Hydrofluoric Acid
Bandages
Phosphorus
Rehabilitation
Hand
Skin
Water
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Orcutt, T. J., & Pruitt, B. A. (1976). Chemical injuries of the upper extremity. Major problems in clinical surgery, 19, 84-95.

Chemical injuries of the upper extremity. / Orcutt, T. J.; Pruitt, Basil A.

In: Major problems in clinical surgery, Vol. 19, 1976, p. 84-95.

Research output: Contribution to journalArticle

Orcutt, TJ & Pruitt, BA 1976, 'Chemical injuries of the upper extremity.', Major problems in clinical surgery, vol. 19, pp. 84-95.
Orcutt, T. J. ; Pruitt, Basil A. / Chemical injuries of the upper extremity. In: Major problems in clinical surgery. 1976 ; Vol. 19. pp. 84-95.
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abstract = "The prompt recognition and management (Tables 8-1 and 8-2) of chemical burns of the upper extremity may prevent injury to the deep structures of the hand and may make the difference between satisfactory rehabilitation and crippling deformities. Immediate irrigation with water is the single most important treatment that can be carried out, and should be continued for at least an hour and often for several hours, depending on the severity of the injury. Precious time should not be wasted hunting for a specific neutralizing agent. Hydrofluoric acid injuries and phosphorus injuries are the two exceptions to this principle. After copious irrigation and d{\'e}bridement, small superficial burns may be treated without dressings or topical therapy. Large partial-thickness burns are best treated with Sulfamylon burn cream and then with with biologic dressings until healing is achieved. Full-thickness injuries of limited extent should be excised and skin-grafted to regain maximum function, and more extensive burns treated in a nonexicisional regimen.",
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AB - The prompt recognition and management (Tables 8-1 and 8-2) of chemical burns of the upper extremity may prevent injury to the deep structures of the hand and may make the difference between satisfactory rehabilitation and crippling deformities. Immediate irrigation with water is the single most important treatment that can be carried out, and should be continued for at least an hour and often for several hours, depending on the severity of the injury. Precious time should not be wasted hunting for a specific neutralizing agent. Hydrofluoric acid injuries and phosphorus injuries are the two exceptions to this principle. After copious irrigation and débridement, small superficial burns may be treated without dressings or topical therapy. Large partial-thickness burns are best treated with Sulfamylon burn cream and then with with biologic dressings until healing is achieved. Full-thickness injuries of limited extent should be excised and skin-grafted to regain maximum function, and more extensive burns treated in a nonexicisional regimen.

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