Experience is helpful. Therapy Silver sulphurdiazine is the main agent used. The rationale is that by controlling local infection we will prevent systemic infection. Antibiotics given systematically have limited use as they cannot get to the injured site. Topical SSD and bulky dressings which are changed daily are the main methods of local wound care.
Daily baths help in the process debridement.
SSD slows down eschar separation. Dressings There have been many vogues and new products are coming on the market all the time. Pig skin, potato peels, synthetic membranes have all been used. Simple dressings with vaseline gauze are cost effective and work well. Positioning of the limbs and the hands especially is very important.