The vast majority of superficial burn should heal in 10 – 12 days without complication. They heal by a process of re-epithelialization as surviving keratinocytes in the injured skin proliferate to restore the epidermal barrier (regeneration).
The goal of management of minor burns is to minimise pain and the risk of infection, achieve wound healing in a timely fashion, preserve physical function and minimise cosmetic deformity.
Knowledge of the evolving nature of the burn wound is necessary for appropriate management. As the burn changes through the process of healing, so too will the dressing requirements.
The FACADE acronym provides a useful framework and practical guide to the wound management of minor burn injuries. FACADE summarises the key steps involved: