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2nd degree burns on face, chest and arm.....from butter

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  • #16
    and the rest of the post (had to break it up into two posts:

    For more significant burns, skin grafting wins out over treating with honey... that shouldn't come as a suprise
    Early tangential excision and skin grafting of moderate burns is superior to honey dressing: a prospective randomised trial
    M SubrahmanyamAccepted 4 May 1999.

    Methods: In this prospective trial, 50 burn patients were randomised to be treated either with early tangential excision and skin grafting or by the application of honey dressings, with delayed skin grafting as necessary. The 25 patients in the tangential excision (TE) group had burns of 234%, 12% of which was full thickness. The honey treated patients (HT), (N=25), had burns of 244%, 13% of which was full thickness. Seventeen of the TE patients were operated upon on day 3, the remainder before day 6 post burn. Eleven of the HT patients eventually required skin grafting. Cosmetic and functional results were assessed at 3 months post discharge.

    Results: In the TE group, the skin grafting take rate was 993%. In the HT group, the graft take rate was 7418% (P<0.01). The mean percentage of blood volume replaced was 3512% in TE patients vs. 2115% in HT patients (P<0.01). Only one TE patient died due to status asthmaticus, while there were 3 deaths, all from sepsis, in the HT patients. At 3 month follow-up, 92% of the TE patients had good to excellent functional and cosmetic results vs. 55% in HT patients, 3 of whom had significant contractures.
    Conclusion: Early tangential excision and skin grafting was clearly superior to expectant treatment using topical honey in patients with moderate burns in this randomised, prospective study performed at a General Hospital in the Indian subcontinent. The availability of suitable allogenic blood is a potential problem when TE is employed.
    from the journal Infection

    The antimicrobial spectrum of honey and its clinical significance

    S. E. E. Efem and C. I. Iwara


    The antimicrobial spectrum of honey was investigated by placing two drops into each of the wells made on culture media on which pure cultures of various organisms obtained from surgical specimens were grown. The organisms were grown under both aerobic and anaerobic environments. Fungal cultures of common fungi causing surgical infections or wound contaminations were mixed with 100%, 50% and 20% unprocessed honey. Growth inhibition was complete in the media containing 100%, partial in media containing 50% and no inhibition was produced by 20% honey. Unprocessed honey inhibited most of the fungi and bacteria causing wound infection and surgical infection exceptPseudomonas aeruginosa andClostridium oedematiens. Apart fromStreptococcus pyogenes which is only moderately inhibited, golden syrup, a sugar syrup with similar physical properties as honey, did not inhibit any of the bacteria or fungi tested, demonstrating that honey is superior to any hypertonic sugar solution in antimicrobial activity. Honey is thus an ideal topical wound dressing agent in surgical infections, burns and wound infections.
    N Z Med J. 2009 May 22;122(1295):47-60.
    Honey in the treatment of burns: a systematic review and meta-analysis of its efficacy.

    Wijesinghe M, Weatherall M, Perrin K, Beasley R.
    Medical Research Institute of New Zealand (MRINZ), Wellington 6143, New Zealand.

    AIM: To determine the efficacy of honey in burn wound management.
    METHODS: A systematic review and meta-analysis of randomised controlled trials which compared the efficacy of honey with a comparator dressing treatment in the management of burns. The main outcome measure was the proportion of subjects with wounds healed at 15 days.
    RESULTS: Eight studies with 624 subjects were included in the meta-analysis. The quality of the studies was poor with each study having a Jadad score of 1. Six studies were undertaken by the same investigator. In most studies unprocessed honey covered by sterile gauze was compared with silver sulphadiazine-impregnated gauze. The fixed effects odds ratio for healing at 15 days was 6.1 (95% CI 3.7 to 9.9) in favour of honey having a superior effect. The random effects pooled odds ratio was 6.7 (95% CI 2.8 to 15.8) in favour of honey treatment. The secondary outcome variables all showed significantly greater efficacy for honey treatment.
    CONCLUSION: Available evidence indicates markedly greater efficacy of honey compared with alternative dressing treatments for superficial or partial thickness burns, although the limitations of the studies included in the meta-analysis restrict the clinical application of these findings. Further studies are urgently required to determine the role of honey in the management of superficial or partial thickness burns.

    AUTHORS' CONCLUSIONS: There is a paucity of high quality RCTs on dressings for superficial and partial thickness burn injury. The studies summarised in this review evaluated a variety of interventions, comparators and clinical endpoints. Despite some potentially positive findings, the evidence, which largely derives from trials with methodological shortcomings, is of limited usefulness in aiding clinicians in choosing suitable treatments.

    iherb referral code CIL457- $5 off first order


    • #17
      Ow. Poor you. Nothing sucks more than burns on the face. When I was a teen, I had a chicken fryer bubble up on me at work, and ended up with a lovely large burn on my chin, it went from my bottom lip to my chin. I also got a mark on my arm. I still have a lovely white patch on my arm, not a scar, just an absence of freckles.

      Organic shea butter is also another great thing to have on hand, it speeds healing and reduces scaring.
      SW: 235
      Rough start due to major carb WD.

      MWF: 1 hour run/walk, 1.5 hours in the gym - upper/lower and core
      Sat/Sun=Yard/house work, chasing kids, playing
      Family walk every night instead of everyone vegging in front of the TV
      Personal trainer to build muscle mass & to help meet goals


      • #18
        Don't mess with the blisters! I have skin that keloids very easily, and I had a very large burn on my forearm a couple years ago from boiling water. I dressed it and ignored it, and the blister eventually drained on its own and then became it's own natural covering for the burn. There is no scar to be found. I'm kind of shocked by that.

        If any of the burns on your face are showing any signs of improper healing or infection, please get to a doctor ASAP. I'd hate for the skin on your eyes to be affected permanently.

        Good luck. Hope you're feeling better. Sorry this happened, but thanks for posting cause now I"m sure to be more careful in the kitchen!


        • #19
          oh my goodness!!!!!! hope youre well soon. ouch is all i got.

          i fell in a bon fire at college one year, hospital, lots of meds and shots in my butt(? i forget most of this i was wasted and think the pain made me forget???) . anyway i got pnemonia 2 days later(i blame it on all the meds they tried to tret the burns with haha, so more meds on top of meds on top of a mummy-looking girl puking up blood....oh geez it was bad, hallucinations, even my dog barked AT me cuz he sensed i guess i was not well

          anyway they gave me a tiny pack of this like 100$ lotion i had to put everywehere, so about 1000$ and a gazillion wraps later all the scars are gone ecept the palm of my han when it gets sun you cn see it in purple.

          burns suck haha so i wish you well soon!
          Get on my Level


          • #20
            Go, go super Primal healing!

            Also... the blink reflex. Isn't it amazing?

            Also... who else would get badly burned, treat burns, finish the salmon, and then post a bunch of fascinating links about burn healing?
            (*in awe*)


            • #21
              u dun goofd


              • #22
                Ouch! Hope you're ok and heal quickly.


                • #23
                  OH my goodness! I am so sorry to hear this. I know you're on it, though. Still ... I know it hurt.


                  • #24
                    Thanks guys

                    Originally posted by MalPaz View Post
                    i fell in a bon fire at college one year, hospital, lots of meds and shots in my butt(
                    penicillin most likely. and *wow*. that must have been crazy miserable. The $100 med was silver sulfadiazine.

                    It wasn't the meds that gave you pneumonia. Changes are that because of the burn, you used up the last of your zinc stores and your body couldn't deal with the bacteria that was settling into your lungs.

                    Everyone at the lab has the flu....after the burn, i woke at 3 am with a sore throat and other mild flu symptoms. I've been working on my zinc the last few well as doing all of the other 'alternative' things I do for flu tx/prevention.

                    Originally posted by Hilary View Post
                    Also... the blink reflex. Isn't it amazing?
                    I've been feeling a lot of gratitude for that blink reflex...that's for certain. it probably would have been cool to see in super slow motion. lol

                    Also... who else would get badly burned, treat burns, finish the salmon, and then post a bunch of fascinating links about burn healing?
                    You're so sweet to me but seriously, I had to do something. it was too painful otherwise so I had to be distracted from it. The first hour or so I was coping pretty well but into the second hour of significant pain, my coping mechanisms were dissolving. By the time dh got home I was a whiny, annoying mess. lol Had that 2nd dose of motrin not done the trick, I would have gone into the ER.

                    Thanks for kind wishes everyone.

                    Everyone run out to buy a jar of raw honey.

                    iherb referral code CIL457- $5 off first order


                    • #25
                      owww katherine... hope you will feel better soon.... you must have been using a shitload of butter girl! I second the lavender oil...


                      • #26
                        Yow!! Clearly you are being well taken care of by your own capable hands, but I just wanted to reply with sympathy! ... And yeah, it is kinda amusing that this became an excellent burn-education opportunity. We put raw honey on our shopping list!
                        Last edited by Jenny; 10-31-2010, 06:15 PM.
                        "Trust me, you will soon enter a magical land full of delicious steakflowers, with butterbacons fluttering around over the extremely rompable grass and hillsides."


                        • #27
                          Originally posted by Suse View Post
                          owww katherine... hope you will feel better soon.... you must have been using a shitload of butter girl! I second the lavender oil...
                          I can't find any information on lavender oil and burn tx. I've heard it recommended before...and if the burn on my arm were less severe, I'd try it there. If anyone comes up with evidence for lavender, lmk....I am very interested. I've used it for knee scrapes (w/aquaphor) and found it helpful.

                          As it stands, I think I have to stick with honey - it works so well for burns b/c of the enzymes (in addition to the anti-microbial properties). The enzymes basically eat the dead tissue. Yay. ) As it stands, the worst of it (the part I peeled off on my forhead) is feeling worse in spite of my ministrations. Tomorrow I'll head into the derm if it still feels like this. (ie bruised and throbbing)

                          iherb referral code CIL457- $5 off first order


                          • #28
                            The thing about using lavender is knowing that you have indeed got pure lavender oil. Nowadays you can buy cheap muck everywhere but its not necessarily pure-grade. For my own anecdotal evidence, I have mixed up lavender oil with a good moisturiser and used on really bad sunburn and it has eased the pain and I have not had major blistering and peeling like I have had other times. But we're talking a sunburn not a really ouchy burn from hot fat. (although a really bad sunburn is pretty darned ouchy too ) Either way, I hope you heal fast.


                            • #29
                              Awww Cilla! You are so thorough... I probably would have posted the following:

                              Burned my face with hot salmony butter, applied honey. Will wait.

                              LOL. Sending good vibes your way dearest!

                              Good thing my dad just started an apiary this year eh? Unlimited raw honey... for free! YES! I shall save a small medicinal jar of it.
                              Life on Earth may be punishing, but it includes an annual free trip around the sun!


                              • #30
                                Originally posted by localad View Post
                                Lavendar oil, applied topically. It really works on skin burns!!
                                So sorry to hear that and very scary. In the future flip foods away from you so that spatter goes in the other direction.

                                My sister is a huge proponent of lavendar oil for bad burns. Don't know how effective it is after a couple of days.