The Burns Unit in Copenhagen: I. Principles of Treatment

Abstract

In the municipality of Copenhagen the treatment of burns has been centralized for more than 100 years, first in a dermatological department, later in a department of general surgery, and from 1961 in a separate Burns Unit. This Unit accommodates 16 patients. Its layout and staffing are described. The principle of treatment is exposure, before as well as after grafting, if done. The therapeutic procedure is described in detail, and the principles of general treatment, antibiotic and antishock therapy are reviewed. Up to 1964 major burns were treated by repeated excisions and grafting procedures. After 1964, total excision is performed on the 14th day postburn. During the same operation, all defects are covered with autografts, if necessary also with homografts. Energetic physiotherapy is employed, and the haemoglobin level is maintained by repeated transfusions.