Assessment of cooling on an acute scald burn injury in a porcine model

The current Australian and New Zealand Burn Association (ANZBA) recommended Burns First Aid Treatment is place the burn under cool running water for 20 minutes. Wet towels and water spray also have been used frequently. No scientific data exist to compare the effectiveness of these methods of coolin...

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Bibliographic Details
Published in:Journal of burn care & research 2007-05, Vol.28 (3), p.514-520
Main Authors: YUAN, Jennifer, WU, Camille, HOLLAND, Andrew J. A, HARVEY, John G, MARTIN, Hugh C. O, LA HEI, Erik R, ARBUCKLE, Susan, GODFREY, Chris
Format: Article
Language:English
Subjects:
Acute Disease
Animals
Biological and medical sciences
Burns
Burns - pathology
Burns - therapy
Cold Temperature
Dermatology
First Aid - methods
First Aid - standards
Medical sciences
Models, Animal
Skin Temperature - physiology
Swine
Traumas. Diseases due to physical agents
Water
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Summary:The current Australian and New Zealand Burn Association (ANZBA) recommended Burns First Aid Treatment is place the burn under cool running water for 20 minutes. Wet towels and water spray also have been used frequently. No scientific data exist to compare the effectiveness of these methods of cooling. This study sought to determine experimental evidence for current Burns First Aid Treatment recommendations and the optimal mode of cooling. Four partial-thickness scald burn injuries were induced in 10 piglets each. First aid was then applied for 20 minutes via cool running water, wet towels, or water spray, with no treatment as a control. At day 1 and day 9, biopsies and clinical photographs were assessed in a blinded manner. The control group showed worsening or no change of depth over the course of 9 days. The outcomes with wet towels and water spray were variable. Cool running water consistently demonstrated improvement in wound recovery over the course of 9 days (P < .05). This study demonstrated that cool running water appeared the most effective first aid for an acute scald burn wound in a porcine model compared with wet towels and water spray.
ISSN:1559-047X
1559-0488
DOI:10.1097/BCR.0B013E318053DB13