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Merbromin's best-known use is as a topical antiseptic to treat minor wounds, burns, and scratches. [3] It is also used in the antisepsis of the umbilical cord, [4] and the antisepsis of wounds with inhibited scar formation, such as neuropathic ulcers and diabetic foot sores. [5]
The treatment of wounds depends on whether they are external or internal. External wounds bleed outside through a skin break. They need an external wound management (read below). Internal wounds bleed inside, but some of them can pour blood outside through a natural hole. They need an internal wound management (read below).
The Wallace rule of nines is a tool used in pre-hospital and emergency medicine to estimate the total body surface area (BSA) affected by a burn.In addition to determining burn severity, the measurement of burn surface area is important for estimating patients' fluid requirements and determining hospital admission criteria.
First, local or general anesthesia is employed. Next, the area to be treated is marked out, and a suitable dermabrasion tip is chosen to be used during the procedure. During dermabrasion, the skin being treated is held taut with one hand to maintain tension while the dermabrader is moved across the skin uniformly and gently. [29]
Treatment depends on the severity of the burn. [2] Superficial burns may be managed with little more than simple pain medication, while major burns may require prolonged treatment in specialized burn centers. [2] Cooling with tap water may help pain and decrease damage; however, prolonged cooling may result in low body temperature.
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For example, a person weighing 75 kg with burns to 20% of his or her body surface area would require 4 x 75 x 20 = 6,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within eight hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.
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