DOI: 10.36347/sjams.2018.v06i11.052

Pages: 4450-4453

Hands are the most sensitive part of human body and optimal hand function is a crucial component of a high-quality survival after burn injury. Hand burns due to Fire cracker causes pain out of proportion as compared to other thermal flame burns to the hands by virtue of continuous irritation with phosphorus ingredient. Study intends to evaluate merits of Provision of early and rapid Analgesia in immediate post burn period as compared to traditionally administered systemic analgesia orally or intramuscular. We studied 148 patients of isolated hand burns on the eve of deepavali out of which 82 patients had triple nerve wrist block and 66 patients had intramuscular diclofenac injection. Results were encouraging in terms of increased compliance for early hand mobilization, lesser number of debridement, and decreased cumulative dose of analgesia. Procedure is worthwhile as compared to risks involved and hence recommended in mass casualties.