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  • LSEBN Burns Blister Management

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    Ernesto Guebara
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    The document provides guidelines for managing burn blisters from the London South East Burn Network (LSEBN). It recommends leaving small intact blisters alone but deroofting large or thin-walled blisters to allow assessment of the wound and reduce infection risk. Blisters on fingers, palms, and feet should also be deroofted to enable mobility. Deroofing removes non-viable tissue, fluid, and contaminated material to promote healing and prevent burn progression or contractures.

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    Quemaduras 1

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    The document provides guidelines for managing burn blisters from the London South East Burn Network (LSEBN). It recommends leaving small intact blisters alone but deroofting large or thin-walled blisters to allow assessment of the wound and reduce infection risk. Blisters on fingers, palms, and feet should also be deroofted to enable mobility. Deroofing removes non-viable tissue, fluid, and contaminated material to promote healing and prevent burn progression or contractures.

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    © All Rights Reserved
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    16 views1 page

    LSEBN Burns Blister Management

    Uploaded by

    Ernesto Guebara
    The document provides guidelines for managing burn blisters from the London South East Burn Network (LSEBN). It recommends leaving small intact blisters alone but deroofting large or thin-walled blisters to allow assessment of the wound and reduce infection risk. Blisters on fingers, palms, and feet should also be deroofted to enable mobility. Deroofing removes non-viable tissue, fluid, and contaminated material to promote healing and prevent burn progression or contractures.

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    © All Rights Reserved
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    of 1

    LSEBN

    LSEBN
    Burn Blister

    LSEBN
    CONTACT DETAILS

    Management Guideline www.trips.nhs.uk

    St Andrews Burns Service


    Broomfield Hospital (Chelmsford)
    LSEBN recommendations are formulated from the best available evidence
    Adults/Children 01245 516037
    for burn blister management in order to provide guidance for healthcare
    professionals working in pre-hospital, emergency, primary or secondary
    Chelsea & Westminster Hospital (London)
    services, expected to manage patients with burn blisters
    Adults 02033152500
    Children 02033153706
    Seek early advice from local Burn Service, particularly for management of burn blisters
    in major burns, children & palms and soles of feet
    Queen Victoria Hospital (East Grinstead)
    Telephone support and advice on initial care of any patient with a burn injury is available Adults 01342 414440
    at all times Children 01342 414469

    All burn injuries that fall within the Burn Referral Criteria should be discussed with the
    local Burn Service Stoke Mandeville Hospital (Aylesbury)
    LSEBN guidelines are available via TRIPS Help & Information on www.trips.nhs.uk Adults and Children 01296 315040

    Burn blisters

    Burn blisters occur as a response to a burn injury whereby increased capillary permeability results in oedema formation that
    separates the epidermis from the underlying dermis. Burn blisters occur primarily in superficial partial thickness burns but also
    may overlay deeper burns.

    Criteria for deroofing

    Natural method of pain control. Unlikely to rupture


    Small non-tense blisters (<6 mm) spontaneously, damage underlying tissue, or
    LEAVE INTACT impede healing
    Deroofing is not the priority in care for severe and extensive burns.

    Blisters on these areas are associated with


    Thick-walled blisters on fingertips, palms and discomfort and limited mobility. Alternative
    soles of feet management is to cut a sizeable “window” to
    remove fluid and enable assessment of the wound

    DEROOF Large (>6 mm) and thin-walled Most likely to occur on hair-lined surfaces and
    blisters rupture spontaneously, which increases the risk of
    infection
    Removes any necrotic and possibly contaminated
    Ruptured blisters and loose skin
    material from the wound
    Rationale for deroofing

    ☑ Allows proper observation of the wound bed and accurate assessment of the burn depth, including capillary refill time and
    sensation, to determine appropriate treatment
    ☑ Removes non-viable tissue from the wound bed, allowing faster wound healing and decreasing likelihood of scarring
    ☑ Evacuates blister fluid that may suppress local and systemic immune function, improving the patient’s ability to defend
    against infection
    ☑ Reduces the risk of wound infection associated with uncontrolled blister rupture and prolonged presence of non-viable
    tissue
    ☑ Prevents pressure on underlying tissue, preserving the wound microcirculation and preventing the burn depth progression
    ☑ Enables movement of joints, reducing the likelihood of burn contracture
    ☑ Improves the efficacy of topical wound therapy

    References are available via www.lsebn.nhs.uk Developed by LSEBN March 2016

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