Dear Deep BURN,

Thank you for reaching out to us with your question regarding the immediate treatments for skin burns. We understand that dealing with a burn injury can be a challenging experience, and we are here to support you through your recovery process.

For immediate treatment of skin burns, it is essential to cool the burn as soon as possible. This can be done by running cool (not cold) water over the burn area for several minutes. It is important to avoid using ice, as this can cause further damage to the skin. After cooling the burn, covering it with a clean, dry cloth can help protect the area.

At our clinic, we also offer advanced treatment options, including the use of **Biobrane™** as a temporary wound dressing, which has been shown to be effective prior to definitive split-skin graft in the treatment of severe burns. Additionally, **pressure garments** are commonly used for the prevention and treatment of hypertrophic scars (HTS), and they are typically worn for almost 24 hours a day for at least 6 months after the burn. **Silicone sheets** are another option, usually worn for at least 12 hours a day, starting therapy 2 weeks after wound healing.

We would also like to invite you to participate in our research project, **BURNCARE**. If admitted to the study, you will receive an advanced wound dressing made out of biological nanocellulose, **GJM-534**, free of charge for 14 days. This dressing has been chemically functionalized with a pH indicator dye, which may offer additional benefits in the healing process.

Please do not hesitate to contact us if you have any further questions or concerns. Dr. Truppe is also available on the number **+43 1 4089500 66** in urgent cases.

We are committed to providing you with the best care possible and look forward to assisting you on your path to recovery.

Warm regards,

Personal Assistant to Michael Truppe, MD

– **Biobrane™**: A synthetic wound dressing used for temporary coverage of burns.
– **Pressure garments**: Clothing items that apply pressure to burn scars to prevent hypertrophic scarring.
– **Silicone sheets**: Silicone-based dressings used to treat and prevent hypertrophic scars and keloids.
– **Hypertrophic scars (HTS)**: Thickened, raised scars that develop after a burn injury.
– **GJM-534**: A chemically functionalized biological nanocellulose dressing with a pH indicator dye used in the BURNCARE study.

### 2024-01-04 12:42 Telekonsultation

Dear Deep BURN,

I hope this letter finds you in improving health. I understand that you have sustained a second-degree burn on your right lower foot, and I would like to provide you with detailed guidance on the immediate treatments that are essential for your recovery, especially considering your medical history of Type 2 Diabetes, which can complicate the healing process.

**Immediate Treatments for Skin Burn:**

1. **Cooling the Burn:**
– Immediately after sustaining a burn, it is crucial to cool the area with lukewarm water for 15-20 minutes. Avoid using ice or very cold water, as this can cause further tissue damage.

2. **Cleaning the Wound:**
– Gently clean the burn with water and mild soap. It is important to remove any debris and reduce the risk of infection.

3. **Sterile Dressing:**
– Apply a sterile, non-adhesive dressing to protect the burn. The dressing should be loose enough to not put pressure on the burn but secure enough to stay in place.

4. **Pain Management:**
– Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain. However, it is important to follow the dosage instructions provided by your healthcare provider.

5. **Preventing Infection:**
– Oral antibiotics may be prescribed to prevent infection, especially in patients with diabetes, as your immune response may be compromised.

6. **Elevation:**
– Keep the burned foot elevated to reduce swelling and discomfort.

7. **Avoiding Pressure:**
– It is essential to avoid putting weight on the burned area to prevent further injury and to promote healing.

8. **Monitoring for Infection:**
– Watch for signs of infection, such as increased redness, swelling, warmth, and discharge. If any of these symptoms occur, it is important to seek medical attention promptly.

9. **Optimizing Glycemic Control:**
– Work with a diabetes specialist to ensure your blood sugar levels are well-controlled, as high blood sugar can impair wound healing.

10. **Follow-up Care:**
– Regular follow-up with your healthcare team is necessary to monitor the healing process and make any necessary adjustments to your treatment plan.

– **Second-Degree Burn:** A burn that affects both the epidermis and the dermis layer of the skin, causing pain, redness, swelling, and blistering.
– **Debridement:** The medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.
– **Cellulitis:** A bacterial skin infection that can cause redness, swelling, and pain.
– **Glycemic Control:** The management of blood sugar levels in individuals with diabetes.

Please remember that the above information is a general guide and that your treatment may need to be tailored to your specific condition, especially in light of your diabetes. It is imperative to follow the instructions given by your healthcare providers and to keep them informed of any changes in your condition.

If you have any further questions or concerns, please do not hesitate to reach out to me. I am here to support you through your recovery process.

Warm regards,

*Michael Truppe, MD*
*Facharzt für Zahn-, Mund- und Kieferheilkunde*

### [Termin vereinbaren](

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

© 2023 Eurodoc Telemedizin ForschungsgesellschaftmbH

![Dr. Michael Truppe]( “Dr. Michael Truppe”)