Specific Burn Protocols and Dressing

Applications:
General Guidelines For Burn Dressing Use

All Silverlon Burn Dressings are designed for up to 7 day use, subject to
maintaining the metallic silver surface of the dressing moist and free of excessive
exudate buildup.

Wet dressing with sterile water. DO NOT USE SALINE solutions directly to the
Silverlon dressings.

Optimal silver ion release rates from the surface of the dressing are achieved by
keeping the Silverlon dressing moist and free from excessive exudate buildup. Add
water periodically to maintain moisture content.

The effectiveness of the Silverlon dressing is increased by overlapping the

wound margins by 1 to 2 cm.

Remove Silverlon prior to X-RAY, CAT OR MRI procedures.

Do not remove the Silverlon dressing while dry or is sticking to the wound bed.
If sticking occurs, rewet the dressing waiting until it can be easily removed starting
with gently lifting the corners.

STSG Donor Sites

The Silverlon Burn Contact Dressing, properly moistened with sterile water, is
applied directly to donor sites and covered with moistened gauze or other
moisture donating cover dressing. If covered with gauze, periodic re-moistening
with sterile water may be needed to maintain proper moisture levels. The cover
dressing should maintain the proper moisture level at the Silverlon wound
interface. The Silverlon Burn Contact and cover dressing is secured in place
with tubular stretch knit, compressive wrap, tape or equivalent. Silverlon Burn
Contact Dressing may be left in place for up to 7 days.
STSG Graft Sites
The Silverlon Burn Contact Dressing or Compressive Burn Wrap, properly
moistened with sterile water, is applied directly to the graft site and covered with
moistened gauze or other moisture donating cover dressing. If covered with
gauze, periodic re-moistening (10-12 hrs.) with sterile water may be needed to
maintain moisture levels. The cover dressing should maintain the proper moisture
levels at the Silverlon wound interface. A non adhering wound contact dressing
such as Dermanent, Tegapore, Silon TSR or Mepitel may be placed between the
wound surface and the Silverlon Burn Contact if desired. The Silverlon Burn
Contact and cover dressing is secured in place with tubular stretch knit,
compressive wrap, tape or equivalent. The Silverlon Burn Contact Dressing
may be left in place for up to 7 days use.
First Degree Digit and Hand Burns

The Silverlon Burn Glove, properly moistened with sterile water, is applied
directly to the digits and hand. The ends of the glove fingers may be cut to
appropriate length. A roll gauze, surgical latex glove (if the patient does not have
a latex allergy) or elastic roll gauze is placed over the Silverlon Burn Glove. If
covered with gauze, periodic re-moistening with sterile water may be needed to
maintain moisture levels. It is best to size the elastomeric surgical glove one size
larger than the size that the patient would normally wear, providing a comfortable
fit over the Silverlon Burn Glove. The Silverlon Burn Glove is removed when
the erythema resolves or up to 21 days.
Second and Third Degree Digit and Hand Burns
There are three options for burned hands and digits. The first option involves
fabricating a digit wrap from the Silverlon Burn Contact dressing and
individually wrapping each digit. The hand itself may be wrapped with a
Silverlon Burn Wrap 4 x 66 inches by cutting a section of the wrap that is
approximately 4 inches by 33 inches and individually wrapping the palmar and
dorsal aspects of the hand. The second option is to use the Silverlon Digit
Tubular Stretch Knit dressing by placing the tubular material over the affected
digits and the hand with the wrap as described above. The third option is to
apply the Silverlon Burn Glove (See Ag-Burn Glove Directions). In each
option, the Silverlon fabric is moistened with sterile water, covered with
moistened roll gauze or elastic gauze rolls and held in place with a compressive
wrap or tubular stretch knit. If covered with gauze, periodic re-moistening (10-12
hrs.) with sterile water may be needed to maintain proper moisture levels. The
dressings may be taken down daily and the wounds carefully examined. The
Silverlon Dressing can be reapplied if it is not covered with excessive exudate
and cellular debris. If covered with exudate and cellular debris, under sterile
conditions, the Silverlon Dressing can be rinsed with sterile water and reapplied up to 7 days use.
First Degree Burns in General
The Silverlon Burn Contact Dressing, properly moistened with sterile water, is
applied directly to the first degree burn site and covered with moistened gauze or
other moisture donating cover dressing.. If covered with gauze, periodic remoistening (10-12 hrs.) with sterile water may be needed to maintain proper
moisture levels. The cover dressing should maintain moisture levels at the
Silverlon wound interface. The Silverlon Burn Contact and cover dressing is
secured in place with tubular stretch knit, compressive wrap, tape or equivalent.
The Silverlon Burn Contact Dressing may be left in until the erythema resolves
or up to 21 days.
Superficial and Deep Partial Thickness and Full Thickness Burns in General
The Silverlon Burn Contact Dressing or Silverlon Burn Wrap, properly
moistened with sterile water, is applied directly to superficial and deep partial
thickness and full thickness burns. The Silverlon Dressing is covered with
moistened gauze or other moisture donating cover dressing. If covered with
gauze, periodic re-moistening (10-12 hrs.) with sterile water may be needed to
maintain moisture levels. The cover dressing should maintain moisture levels at
the Silverlon wound interface. The Silverlon Dressing and cover dressing is
secured in place with tubular stretch knit, compressive wrap, tape or equivalent.
The dressings may be taken down daily to examine wounds. The Silverlon
dressing can be reapplied if it is not covered with excessive exudate and cellular

debris. If covered with exudate and cellular debris, under sterile conditions, the
Silverlon dressing can be rinsed with sterile water and re-applied up to 7 days
use... The Silverlon Dressing is covered with elastic gauze and held in place
with tubular stretch knit, compressive wrap (coban, ace wrap) or equivalent.
Use with Dermal Reconstruction Dressings (Integra, Dermagraft)
The Silverlon Burn Contact Dressing or Silverlon Burn Wrap, properly
moistened with sterile water is applied directly over dermal reconstruction
dressing, is covered with gauze or other moisture donating cover dressing. If
covered with gauze, periodic re-moistening with sterile water may be needed to
maintain proper moisture levels. The dressings may be taken down daily to
examine the condition of the dermal reconstruction dressing or left in place for up
to 7 days. The Silverlon dressing can be reapplied if it is not covered with
excessive exudate and cellular debris. If covered with exudate and cellular
debris, under sterile conditions, the Silverlon can be rinsed with sterile water
and re-applied. The Silverlon Dressing is covered with elastic gauze, tubular
stretch knit, or equivalent.
Use with Negative Pressure Wound Therapy
Silverlon developed a 7 day Antimicrobial Negative Pressure contact dressing
(NPD) with dual flow ports designed specifically for use with Negative Pressure
Therapy. The Silverlon NPD is sized 1 to 2 cm larger than the treatment area
and is placed directly onto the skin graft or wound bed. The Silverlon NPD is
then covered by the foam/drape or filler/film dressing per the manufacturers
protocol. One Silverlon dressing and foam/filler kit may be used and left in
place for up to 7 days. If graft or wound inspection is necessary prior to 7 days
use, Silverlon NPD may be lifted off wound, rinsed and re-positioned back unto
wound, covering it with a new foam/filler kit, for up to 7 day use.

Ag-Burn Glove - Directions for Home Use

Supplies Needed
1.
2.
3.
4.

Gauze Kerlix or its equivalent, tubular stretch knit, or compressive wrap dressings.
If wound is not draining, substituting a latex glove over wet Silverlon is acceptable.
Clean water for daily rinsing or soaking.
Optional, for heavily exudating wounds, wound cleansers may be considered , such as
Shur Clens, Saf Clens, Curasol, Dermagran, or Biolex.

Daily Care
The glove may be worn while bathing and showering.
1.
Remove and discard outer gauze and cover dressing.
2.
Soak gloved hand at room temperature in clean water for 5 to 15 minutes, or in bath.
3.
Gently remove glove, if any sticking occurs see warning instructions below.
4.
Rinse the inside of the glove thoroughly with clean water and reapply to hand while wet,
5.
keeping seams to the outside.
Apply fresh gauze, tubular stretch knit, compressive wrap dressings or latex glove.
6.

7.

Moisten outer cover dressings every 8 12 hours. In dry climates or conditions

moistening more often may be required. If latex glove is used directly over the Silverlon
glove, add water between the latex glove and Silverlon, let excess water drain out.

General Considerations During Use

Do not use saline solutions, as the chloride ion inhibits silver ion release.
1.
Daily soaking and/or spraying with wound cleansers removes exudate and cellular debris,
2.
and maybe necessary for optimal product performance.
Cleansers such as : Shur-Clens, Saf Clens, Curasol, Dermagran, and Biolex maybe
3.
used, and may increase the efficiency of cellular debris removal and extend the life of the
glove.
Remove Silverlon prior to X-Ray, CAT, or MRI procedures.
4.
Additional Instructions
Do not remove glove while dry or when glove is sticking. If sticking occurs, soak gloved hand for
10 minutes or more until glove can easily be removed. Repeat soaking if necessary.
If problems occur, including swelling, severe redness or sharply increased pain, contact your
physician.