This consensus develops a set of operational clinical practice guidelines in four areas: pre-hospital first aid, non-surgical treatment, surgical treatment, and infection treatment. Therefore, we aimed to develop clinical consensus for the treatment of small- to medium-sized burn wounds caused by thermal factors, combining evidence from evidence-based medicine and expert opinions to establish standardized clinical treatment plans and provide reference opinions for health care professionals involved in burn care. However, many variations still exist in the treatment of deep second-degree burn wounds, including the manner of conservative dressing change, choice of external dressings or medications, and indication and timing of surgery, which requires not only consideration of the different outcomes that may arise from the dressing changes or surgical treatments themselves but also an evaluation of factors such as burn site, patient age and burn area. Timely and reasonable prehospital first aid and appropriate wound treatment after admission are essential in preventing wound deepening. Second-degree burn wounds often exhibit dynamic changes in the early postburn period, which is not only determined by their pathophysiological characteristics but is also closely related to wound intervention and other factors. Our initial data indicated that second-degree burns account for 85.4% of all burn cases, of which 56.3% are burns of less than 10% of the total body surface area (TBSA). In clinical practice, the most common type of burn is a second-degree burn. The current consensus generated a total of 58 recommendations, aiming to form a standardized clinical treatment plan.īurns are the fourth leading cause of injury worldwide, following car accidents, falls and interpersonal violence. This consensus provides specific recommendations on prehospital first aid, nonsurgical treatment, surgical treatment and infection treatment for second-degree burns. Therefore, we developed the Consensus on the Treatment of Second-Degree Burn Wounds (2024 edition), based on evidence-based medicine and expert opinion. Moreover, currently, there are relatively few guidelines or expert consensus for the management of second-degree burn wounds, and no comprehensive and systematic guidelines or specifications for the treatment of second-degree burns have been formed. This not only poses great challenges to the formulation of clinical treatment plans but also significantly affects the consistency of clinical studies. Meanwhile, special attention should be given to the fact that there is no unified standard or specification for the diagnosis, classification, surgical procedure, and infection diagnosis and grading of second-degree burn wounds. Their treatment requires not only a consideration of the different outcomes that may arise from the dressing changes or surgical therapies themselves but also an evaluation of factors such as the burn site, patient age and burn area. Second-degree burns are the most common type of burn in clinical practice and hard to manage.
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