Experts Consensus on Treatment of Second-Degree Burn

Title: Experts Consensus on Treatment of Second-Degree Burn
Edition: Original
Classification: Experts consensus
Field: Treatment
Countries and regions: China
Guidelines users: Burn specialist clinicians, nurses, and related practitioners
Evidence classification method: Grading of Recommendations, Assessment, Development and Evaluations
Development unit: Department of Burn Surgery, the First Affiliated Hospital of Naval Medical University
Registration time: 2023-09-27
Registration number: PREPARE-2023CN749
Purpose of the guideline: Second-degree burn wounds often show a dynamic process in the early post-injury period, which is not only determined by its own pathophysiological characteristics, but also closely related to wound intervention and other factors, and timely and reasonable first aid before hospital and appropriate wound treatment after admission are of great significance to prevent wound deepening. However, there are still many differences in the management of deep second-degree burn wounds, including conservative dressing methods, the choice of topical dressings or drugs, indications for surgery, timing, etc., which not only need to consider the different outcome effects that may be produced by dressing change or surgical treatment itself, but also need to evaluate factors such as burn location, patient age and burn area. In addition, it should be noted that at present, there are no unified standards and norms for the diagnosis, classification, surgical procedures, infection judgment and grading of second-degree burn wounds, which not only poses great challenges to the formulation of clinical treatment plans, but also has a great impact on the consistency of clinical research, limiting the development of high-quality multi-center clinical research. At present, many countries have published guidelines or consensus related to burn treatment, and the International Burn Association published practical guidelines for burn treatment in 2016, which provides an important reference for burn treatment and wound management, but its content is often broad, and the content for burn wound treatment is relatively small, especially there are no comprehensive systematic guidelines or norms for the treatment of second-degree burn wounds. In addition, in recent years, the increasing research on topical dressings, drugs, surgical instruments and wound healing mechanisms of second-degree burn wounds has continuously improved our understanding of second-degree burn wounds. Based on this evidence-based medical evidence, combined with expert opinions, this project formulates a clinical consensus on the treatment of second-degree burn wounds, aiming to form a standardized clinical treatment plan and provide reference opinions for most medical staff specializing in burn care.