ABSTRACT

These are difficult to dress. 1 Cover the hand with silver sulfadiazine cream and place the hand inside a

sterile polythene bag, bandaged over a gauze ring as a seal at the wrist. 2 Elevate the hand and encourage the patient to move the fingers regularly. 3 Give tetanus prophylaxis and analgesia. 4 Replace the silver sulfadiazine cream and bag daily, as turbid fluid collects

in the bag.