DÄ internationalArchive6/2010Treatment After Discharge
LNSLNS Our thanks go to the authors for reviewing burn injuries as these are often neglected or even ignored. The treatment objective especially in people with severe burns is not only the optimal reconstruction of the destroyed integrity of the skin, but also of form, function, and esthetic appearance. Because of self reinforcing scar formation, the treatment is by no means concluded when a patient is discharged from the inpatient setting. Special compression treatment and scar treatment are required as explained. Prescriptions for services often trigger prolonged discussions with the insurers and require their agreement. Scar developments such as hypertrophy, unstable, or functionally impairing scars sometimes occur only after a lengthy latency period. It is essential to recognize these in good time and to initiate the necessary treatment measures. This requires a high degree of specialist expertise that general practitioners—who, as the article mentions, are integral to the interdisciplinary treatment approach—are usually unfamiliar with; something that many affected patients have reported. Such patients should therefore present at regular intervals to burn care clinics in specialized units, so that aftercare can be delivered in a collaborative manner..
DOI: 10.3238/arztebl.2010.0100b

Prof. Dr. med. Henrik Menke
Starkenburgring 66
63069 Offenbach, Germany

Regina Heeß
Rietscheistr. 33
67549 Worms, Germany
1.
Spanholtz TA, Theodorou P, Amini P, Spilker G: Severe burn injuries—acute and long-term treatment [Versorgung von Schwerstverbrannten: Akuttherapie und Nachsorge]. Dtsch Arztebl Int 2009: 106: 607–13. VOLLTEXT
1. Spanholtz TA, Theodorou P, Amini P, Spilker G: Severe burn injuries—acute and long-term treatment [Versorgung von Schwerstverbrannten: Akuttherapie und Nachsorge]. Dtsch Arztebl Int 2009: 106: 607–13. VOLLTEXT