New Technology in Burn Treatment

Chemspunge® and Septicure® Non-Stick Burn Dressing

The skin consists of the following layers:

1. Dermis,
2. The epidermis,
3. The stratum corium,
4. The germinal layer.

The epidermis is anchored to the dermis by way of dermal papillae,  which represents blood vessels,  connective tissue and nerve endings rising up into the epidermis. 

The dermal papillae play a significant role in wound healing.  The mountains act as areas of massive blood supply in wounds,  while the valleys of epidermis act as regions of re-growth in superficial wounds leading to rapid repair.  To function properly,  fibroblasts need nutrients and oxygen from the blood supply and the presence of ferrous iron,  Vitamin C and Zinc substances.  If these are lacking,  collagen synthesis is slowed or in server cases halted.  This can occur when infecting bacteria complete with them for nutrients.

Chemspunge® and Septicure® Non-Stick Burn Dressings revolutionizes wound and burn treatment by promoting natural healing:

• Products contain no Antimicrobial- or Microbial agents.
• Protecting new granulating cells.
• Hypo-Allergenic.
• Lifts oedema as soon as dressings is applied.
• Promotes blood circulation due to adsorption capacity.
• Deslough burns and wounds through osmotic pressure.
• Enhance healing.
• Prevents bacteria penetrating into wounds.
• Preventing scars.
• Only removes that what is not needed by the body to perform natural healing.
• Does not deposit anything into wounds.
• Adsorbs and retains fluids.
• Classified as moist wound healing dressings under the bioactive group.

BURNS:

Burns can be defined as any injury to tissues of the body caused by heat,  electricity,  friction,  chemicals,  radiation,  gasses and fuel.

The extend of the injury is determined by the length of exposure to the causative agent and nature of that agent.

The survival of the patient is related to the extend and degree of burn and the age of the patient.  Approximately half of burn injuries are scalds.  Injuries to the tissue resulting from the application of heat can cause partial or complete destruction of the skin and underlying tissues.

DEPTH OF BURN:

1. SUPERFICIAL PARTIAL THICKNESS
   
   

Only the epidermis is involved.  The skin surface is unbroken.  There is no loss of tissue but painful.

Treatment:

• Apply Cool-Burn Spray to alleviate pain.
• Apply Chemspunge® or Septicure® Burn Dressing.
  
• The dressing remains on the affected area for 24 hours.  Thereafter,  remove the dressing and apply Durmo-Spray until healed.

1. DEEP PARTIAL THICKNESS BURNS
   
   

The epidermis and part of the dermis is destroyed.  The skin blisters and the surrounding areas is usually flushed and swollen.  Blisters may develop several hours after the accident.  It is normally very painful.

Treatment:

• Seek medical assistance,
• Spray affected area with Cool-Burn Spray to alleviate pain and kill bacteria,
• Cover affected area with Chemspunge® or Septicure® Burn Dressings, 
  

      Adhere or bandage if needed. Do dressing changes every 24 hours,

• Do not allow tap water into open wounds,
• Do not scrub wounds to remove slough.  Only change the dressing,
• Do not bath the patient,
• Spray Anti-Septic Spray over all surrounding wound areas, and or the rest of the body and leave to dry.  Anti-Septic Spray does not only prepare a healthy skin to perform a skin graft,  but gives a patient a refreshing fresh feeling as it kills bacteria and so allows the patient to rest.

1. FULL THICKNESS BURNS  (3rd DEGREE)
   
   

The full thickness of the skin is penetrated,  the epidermis,  dermis and underlying structures such as fat,  muscle,  tendons and in some cases up to the bone level.  The areas appear charred and are characterized by a dry leathery appearance.  Veins may be visible and thromboses.  Sensory nerve endings in the dermis are destroyed and the patient is unlikely to feel any pain except at the wound edges. 
Full thickness burns are normally caused by immersion in hot liquids,  flames,  electricity or chemicals.

Treatment:
Access the size of the burn in order to estimate fluid loss.  Burns up to 30% of the body can be life threatening.  These wounds can be deceptive.  The burn may often be much deeper and wider than it appears visually.  Dead tissue can not be visualized.

• Electric Burns:- causes extensive damage to the muscle,  arteries and veins.
  

       Commence with first aid treatment and seek medical help.

• Chemical-, acid- or alkali Burns:- caused by nature of material rather than
  

       heat.  Acid and alkalis are absorbed into the tissue and the burn may deepen
       unless they are rapidly neutralizes. 

1. Use milk to wash and rinse the affected areas as soon as possible.
   
2. Spray with Cool-Burn Spray over the area every hour for 6 hours.
3. Apply Chemspunge® or Septicure® Burn Dressing to lift oedema until clinician instructs further orders.
   
4. Plug cavities with Chemspunge® Cavity Plugs.
   
   

WHY CHEMSPUNGE® AND SEPTICURE® BURN DRESSINGS DESLOUGH AND ASSIST THE BODY TO GRANULATE NEW CELLS.

Chemspunge® and Septicure® Wound Dressings are both hydrophilic products that lifts oedema (swelling) through osmotic pressure.  The fluids escaping a 3rd degree burn is caused by severe healthy tissue loss,  as new cells are destroyed (broken) in the extremity of the accident.  Once cells are broken,  there is no oxygen as a result of impaired blood circulation.  Thus,  dead tissue which can hardly be visualized.  The patient suffers a great deal of shock due to severe tissue,  vein,  muscle loss etc.  Medical advice must be sought as soon as possible.  The patient develops a fever as from the second day.  Due to shock,  it is advisable not to continue with surgical desloughing.  The patient needs to recover first before any surgical intervention is performed. 

Chemspunge® and Septicure® Burn Dressings will move the slough (dead tissue) to the wound surfaces.  A black scab will cover the affected area as from the 3rd - 6th day.  At this stage it can be surgically removed.  These products will remove all debri and leave clean, red surfaces.  In some cases all muscle,  tendons and veins can be visualized.  Continue with these unique dressings until granulation has covered the wound crater.  The body granulates very quickly and in a few days a skin graft can be performed to prevent over-granulation areas.

Advances of Chemspunge® or Septicure® Burn Dressings.

• Less psychological effects on children, as this ensures a pain-free treatment,
• No scrubbing of wounds to deslough or remove debri,
• No or less sedation for pain,
• No scars in many cases,
• No skin graft in many cases (natural healing),
• No theater costs,
• Less time spend in hospitals,
• Patient can be treated at home until skin graft is performed,

 
FACTORS EFFECTING HEALING

1. Tap water and detergents should never be used to treat burns.
2. No scrubbing of wounds as healthy tissue can be damaged.
3. Patients fear dressing changes as dressings normally stick to the wound (except Chemspunge® or Septicure®).
   
4. Patients refuse to enjoy a balanced protein meal due to pain and fear to move.
5. Dehydration, as patients are to scared to move to reach for the drinks on the bedside table.
6. Deficiency of Vitamin C or Zinc, in the case of severe burns.
7. The glucocorticoids such as cortisone, lead to reduce inflammatory response, depressed fibro-blast proliferation and minimal granulation tissue formation.
8. Poor blood supply due to pressure bandages.  The advantage of using Chemspunge® / Septicure® Burn Dressings is that it promotes blood circulation to the affected areas due to the adsorption capacity of the product.
   
9. Continued inflammatory response caused by foreign bodies entered the wound during trauma or have been placed there by surgical interference e.g.  sutures.
10. Another advantage by using Chemspunge® / Septicure® Burn Dressings is,  as these products are a very aggressive desloughing product and will adsorb exudate carrying bacteria away from the wound and minimizes proliferation of bacteria after every dressing change;  thus,  lifts oedema which is an ideal environment for proliferation of bacteria.
    
    

Never apply ultraviolet light to burn wounds.
Avoid sunburn after a skin graft for at least one year.
Use Durmo-spray twice daily to prevent scars.

Advantages of using Chemspunge® or Septicure® Burn Dressings as soon as possible

• Lifts oedema.
• Prevent bacteria penetration into wounds.
• Alleviate pain.
• Stimulate blood circulation to wound area.
• Besought and remove debris through osmotic pressure.
• Stimulates granulation.
• Pain-free treatment to burns of any degree.
• Promotes quick healing.

If inflammative exudate does not escape the wound,  the bloodstream through the rest of the body will transfer bacteria,  septicaemia will procure.

Exudate aids cell migration and maturation,  provides a fluid media,  enzymes growth modulators,  nutritional factors.  It is also actively bactericidal because of the substantial number of cells and antibodies it contains forms a valuable part of the inflammatory process and a problem arises only when exudate is produced in very large quantities as necrotic exudating wounds.
 
At this stage Chemspunge® and Septicure® Burn Dressings quickly control large quantities exudate carrying bacteria as it adsorbs and retains fluids.  The body remains producing exudate,  as inflammation exudate continues to escape.  Any healing wound becomes dryer and start granulating.
  
No wound dressing can dry a wound.  Natural healing takes place as soon as debri and inflammation is under control.  Any healing wound dispose less exudate.

Age groups

The physical condition of the patient must be taken into account,  especially if a patient suffers mal-nutrition,  cancer or the aged.  Research has proven that elderly patients' wounds granulate very slowly and cancer sufferers in many cases did not granulate at all.  It is advisable to use Chemspunge® or Septicure® to deslough the wound and lift bad odours,  but to continue with a product less aggressive. 

Chemspunge® or Septicure® must not be used on fresh donor areas or skin graft.  Only if the area becomes septic!
   

Chemspunge® Wound Dressing.

Chemspunge® Wound Dressings are revolutionizing the Treatment of Wounds and Primary Burn Care world wide.