Josh Tremain,a 28-year-old firefighter,sustained significant full-thickness burns when he fell through the roof of a burning building while fighting an explosive fire.What surgical treatments may Josh need before he is discharged from the burn center to home?

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Full-thickness burns may require debridement of necrotic tissue (eschar)before healing can occur by skin regeneration or grafting.An allograft may be used to cover the burned area during the initial healing process.A xenograft may also be used for covering the burned area.An alternative method is tangential excision of the burn wound,which is performed with a knife dermatome.This type of excision usually extends only to the bleeding subcutaneous fat,rather than to fascia.Dressings saturated with the topical antimicrobial agent of choice are applied.Although skin grafting may be done at the time of wound debridement,it is usually performed several days later,particularly in burns that are extensive.

Josh Tremain,a 28-Year-Old Firefighter,sustained Significant Full-Thickness Burns When He Fell