![]() ![]() the problem is that it may not always be obious which tissues have a deep partial thickness injury and which tissues have received a full thickness injury (noting early tangential excision and graft does not give better long term results than spontaneous healing prognosis: deep partial thickness may take over 6 weeks to heal, as the skin re-epithelializes from deeply seated epithelial cells which line the hair follicles, and sweat glands wounds may appear erythematous but deeper wounds may appear white wounds are sensate and painful, moist, and may blister compression garment after epithelialization splint: thumb abducted, wrist 30 deg, MPs at 80 deg frequent debridement of the overlying eschar / coagulum reduces bacterial count Was not sumerge sustained a serious deep thickness injury the portion of the hand and forearm that was submerged demonstrated minimal burn injury where as the portion of the forearm that the patient placed the hand in ice chilled water for about 30 min there is at least one anecdotal case in which a patient sustained a partial thickness burn to the hand and forearm injured extremity should be submerged or irrigated with cold water for 30 min or longer prognosis: expect healing in 3 weeks, as the skin re-epithelializes from deeply seated epithelial cells which line the hair follicles, and sweat glands clinical features: wounds are sensate and painful, erythematous, moist, and may blister w/ superficial partial thickness injuries there will be preservation of sebaceous and sweat glands as well as hair follicles partial thickness which involves the dermis and a portion of the dermis ![]()
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